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General NPI Number Information
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NPI Number | 1225572902
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Entity Type | Organization
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Legal Business Name | MOSHE STERN
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 7211 PARK HEIGHTS AVE
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City | PIKESVILLE
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State | MD
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Zip | 21208-5403
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Country | US
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Telephone | 443-393-4900
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Fax | 410-358-2355
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Provider Business Mailing Address
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Address Line | 7211 PARK HEIGHTS AVE
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City | PIKESVILLE
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State | MD
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Zip | 21208-5403
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Country | US
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Telephone | 443-393-4900
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Fax | 410-358-2355
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. MOSHE STERN
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Credential | DDS, MS, PC
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Telephone | 443-393-4900
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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 | 14690
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License Number State | MD
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