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General NPI Number Information
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NPI Number | 1194042671
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Entity Type | Individual
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Provider Name | CHRISTINA LOUISE PLATIA DDS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 1107 NELSON ST SUITE 201
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City | ROCKVILLE
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State | MD
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Zip | 20850-2031
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Country | US
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Telephone | 301-424-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 NELSON ST SUITE 201
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City | ROCKVILLE
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State | MD
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Zip | 20850-2031
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Country | US
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Telephone | 301-424-2030
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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 | G3-0000369
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License Number State | DE
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