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General NPI Number Information
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NPI Number | 1245251461
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Entity Type | Organization
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Legal Business Name | SAINI ORTHODONTICS
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10776 HICKORY RIDGE RD
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City | COLUMBIA
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State | MD
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Zip | 21044-3646
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Country | US
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Telephone | 410-730-1255
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Fax | 410-997-5007
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Provider Business Mailing Address
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Address Line | 10776 HICKORY RIDGE RD
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City | COLUMBIA
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State | MD
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Zip | 21044-3646
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Country | US
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Telephone | 410-730-1255
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Fax | 410-997-5007
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Authorized Official
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Title or Position | ADMIN
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Name | MS. ANNA M STANLEY
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Credential |
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Telephone | 410-730-1255
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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 | 04869
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License Number State | MD
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