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NPI 1275870099

NPI 1275870099 : MARK L TAFF DDS : POTOMAC, MD

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General NPI Number Information
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    NPI Number           |    1275870099
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    Entity Type          |    Individual 
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    Provider Name        |    MARK L TAFF DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/14/2013
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    Last Update Date     |    12/21/2016
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Provider Practice Location Address
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    Address Line         |    7811 MONTROSE ROAD SUITE 300 
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    City                 |    POTOMAC
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    State                |    MD
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    Zip                  |    20854
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    Country              |    US
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    Telephone            |    301-530-3717
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    Fax                  |    301-417-8170
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Provider Business Mailing Address
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    Address Line         |    7811 MONTROSE ROAD SUITE 300 
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    City                 |    POTOMAC
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    State                |    MD
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    Zip                  |    20854
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    Country              |    US
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    Telephone            |    301-530-3717
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    Fax                  |    301-417-8170
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    56-90
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    License Number State |    MD
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