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NPI 1245406297

NPI 1245406297 : DRS. GERMAN & NIEL, PA : ELLICOTT CITY, MD

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General NPI Number Information
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    NPI Number           |    1245406297
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS. GERMAN & NIEL, PA 
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Dates
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    Enumeration Date     |    04/30/2008
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    Last Update Date     |    03/20/2024
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Provider Practice Location Address
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    Address Line         |    5140 DORSEY HALL DR 
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    City                 |    ELLICOTT CITY
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    State                |    MD
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    Zip                  |    21042-7897
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    Country              |    US
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    Telephone            |    410-997-5826
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    Fax                  |    410-997-3200
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Provider Business Mailing Address
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    Address Line         |    5140 DORSEY HALL DR 
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    City                 |    ELLICOTT CITY
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    State                |    MD
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    Zip                  |    21042-7897
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    Country              |    US
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    Telephone            |    410-997-5826
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    Fax                  |    410-997-3200
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. PAUL ALEXANDER GERMAN 
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    Credential           |    DDS
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    Telephone            |    410-997-5826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    11480
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    License Number State |    MD
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