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General NPI Number Information
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NPI Number | 1174346753
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Entity Type | Organization
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Legal Business Name | AMIN AND STROUTH DDS PA
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 22700 WASHINGTON STREET SUITE C
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City | LEONARDTOWN
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State | MD
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Zip | 20650
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Country | US
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Telephone | 301-444-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 21875 THREE NOTCH RD
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-1564
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Country | US
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Telephone | 301-863-7077
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Fax |
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Authorized Official
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Title or Position | DENTAL HYGIENE DEPARTMENT MANAGER
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Name | CARRIE SAMORA
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Credential |
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Telephone | 301-863-7077
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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 |
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License Number State |
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