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General NPI Number Information
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NPI Number | 1205259397
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Entity Type | Organization
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Legal Business Name | DENTAL CARE ASSOCIATES,LLC
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 150 E MAIN ST SUITE 100
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City | WESTMINSTER
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State | MD
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Zip | 21157-5089
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Country | US
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Telephone | 443-821-3461
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Fax |
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Provider Business Mailing Address
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Address Line | 150 E MAIN ST SUITE 100
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City | WESTMINSTER
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State | MD
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Zip | 21157-5089
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Country | US
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Telephone | 443-821-3461
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ELISA GALINAITIS
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Credential |
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Telephone | 443-821-3461
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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 | 10611
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License Number State | MD
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