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General NPI Number Information
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NPI Number | 1164813432
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Entity Type | Organization
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Legal Business Name | LORI LASHEN SPECTOR, DMD, LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 14207 PARK CENTER DR SUITE 105
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City | LAUREL
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State | MD
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Zip | 20707-5248
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Country | US
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Telephone | 301-776-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 14207 PARK CENTER DR SUITE 105
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City | LAUREL
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State | MD
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Zip | 20707-5248
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Country | US
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Telephone | 301-776-9686
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER/OWNER/DENTIST
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Name | DR. LORI LASHEN SPECTOR
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Credential | DMD
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Telephone | 301-776-9686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 9640
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License Number State | MD
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