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NPI 1164105367

NPI 1164105367 : GABRIELLE JAMIE MILTON DMD : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1164105367
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    Entity Type          |    Individual 
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    Provider Name        |    GABRIELLE JAMIE MILTON DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2023
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    Last Update Date     |    11/10/2025
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Provider Practice Location Address
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    Address Line         |    2401 BELAIR RD STE 104 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21213-1200
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    Country              |    US
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    Telephone            |    312-274-4550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6021 OTTERBEIN LN APT 105 
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    City                 |    ELLICOTT CITY
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    State                |    MD
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    Zip                  |    21043-7632
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    Country              |    US
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    Telephone            |    843-693-4999
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    18635
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    License Number State |    MD
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