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General NPI Number Information
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NPI Number | 1174166060
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Entity Type | Individual
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Provider Name | RANYA ESHERA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5840 BANNEKER RD
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City | COLUMBIA
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State | MD
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Zip | 21044-3103
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Country | US
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Telephone | 410-772-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 5840 BANNEKER RD STE 120
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City | COLUMBIA
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State | MD
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Zip | 21044-3165
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Country | US
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Telephone | 410-772-9600
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17089
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License Number State | MD
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