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General NPI Number Information
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NPI Number | 1225609886
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Entity Type | Individual
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Provider Name | REBECA SAMI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 3370 URBANA PIKE
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City | IJAMSVILLE
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State | MD
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Zip | 21754-9435
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Country | US
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Telephone | 301-605-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 5189 DUKE CT
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City | FREDERICK
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State | MD
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Zip | 21703-2854
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Country | US
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Telephone | 571-991-5725
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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 | 17359
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License Number State | MD
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