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General NPI Number Information
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NPI Number | 1265295661
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Entity Type | Individual
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Provider Name | AYSENUR GENC DMD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 120 SISTER PIERRE DR STE 103
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City | TOWSON
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State | MD
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Zip | 21204-7521
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Country | US
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Telephone | 608-320-3820
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SISTER PIERRE DR STE 103
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City | TOWSON
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State | MD
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Zip | 21204-7521
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Country | US
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Telephone | 608-320-3820
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 18597
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License Number State | MD
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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 | DS044918
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN10000448
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS044918
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License Number State | PA
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