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General NPI Number Information
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NPI Number | 1194361519
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Entity Type | Organization
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Legal Business Name | MARY C. TRAHAR, DDS, PA
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 52 DENTON PLZ
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City | DENTON
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State | MD
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Zip | 21629-9501
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Country | US
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Telephone | 410-280-2484
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Fax |
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Provider Business Mailing Address
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Address Line | 604 CLOVERFIELDS DR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. MARY CATHERINE TRAHAR
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Credential | DDS, PA
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Telephone | 410-280-2484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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