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General NPI Number Information
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NPI Number | 1245373349
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Entity Type | Organization
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Legal Business Name | DR. DIANNE WHITFIELD-LOCKE
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 5105 MARLBORO PIKE
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-5402
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Country | US
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Telephone | 301-420-1464
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Fax | 301-420-8338
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Provider Business Mailing Address
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Address Line | 5105 MARLBORO PIKE
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-5402
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Country | US
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Telephone | 301-420-1464
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Fax | 301-420-8338
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Authorized Official
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Title or Position | D.D.S.
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Name | DIANNE WHITIFIELD-LOCKE
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Credential |
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Telephone | 301-420-1464
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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 | MD9229
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4518
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License Number State | DC
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