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General NPI Number Information
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NPI Number | 1063291698
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Entity Type | Individual
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Provider Name | BRITTENY DANIEL CROWEN RDH
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 7650 BELAIR RD
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City | BALTIMORE
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State | MD
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Zip | 21236-4088
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Country | US
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Telephone | 410-775-5536
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Fax |
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Provider Business Mailing Address
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Address Line | 5702 THE ALAMEDA APT A
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City | BALTIMORE
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State | MD
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Zip | 21239-2545
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Country | US
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Telephone | 410-371-4642
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 8609
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License Number State | MD
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