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NPI 1255179776

NPI 1255179776 : DARIANNA MASIH : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1255179776
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    Entity Type          |    Individual 
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    Provider Name        |    DARIANNA MASIH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/18/2024
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    650 W BALTIMORE ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-1510
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    Country              |    US
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    Telephone            |    410-706-7306
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    Fax                  |    410-706-3028
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Provider Business Mailing Address
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    Address Line         |    12342 SANDY POINT CT 
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20904-1874
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    Country              |    US
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    Telephone            |    240-758-6928
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    0401419097
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    113
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    License Number State |    MD
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