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General NPI Number Information
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NPI Number | 1053610352
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Entity Type | Organization
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Legal Business Name | HARRY Y. CANTER, JR. D.D.S PA
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 556 C CYNWOOD DRIVE
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City | EASTON
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State | MD
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Zip | 21601-3886
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Country | US
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Telephone | 410-822-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 556 C CYNWOOD DRIVE
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City | EASTON
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State | MD
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Zip | 21601-3886
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Country | US
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Telephone | 410-822-1183
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARRY Y CANTER JR.
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Credential | D.D.S
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Telephone | 410-822-1183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 07291
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License Number State | MD
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