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General NPI Number Information
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NPI Number | 1225388846
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Entity Type | Organization
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Legal Business Name | PATEL QI & BHANGRA DENTAL
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 7556 TEAGUE RD STE 104
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City | HANOVER
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State | MD
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Zip | 21076-1969
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Country | US
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Telephone | 410-799-9991
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Fax | 410-799-3222
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Provider Business Mailing Address
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Address Line | 7556 TEAGUE RD STE 104
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City | HANOVER
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State | MD
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Zip | 21076-1969
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Country | US
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Telephone | 410-799-9991
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Fax | 410-799-3222
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELENA SIMS
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Credential |
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Telephone | 410-799-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | MD13732
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | MD13746
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | MD13678
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | MD14967
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | MD13724
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | MD13396
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | MD14351
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | MD13318
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License Number State | MD
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