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General NPI Number Information
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NPI Number | 1285121137
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Entity Type | Organization
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Legal Business Name | ZAMORA KIDS DENTISTRY, P.A.
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 1350 BLAIR DR STE I
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City | ODENTON
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State | MD
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Zip | 21113-1333
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Country | US
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Telephone | 443-698-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 803 MALLET HILL LN
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City | MILLERSVILLE
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State | MD
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Zip | 21108-2163
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARRAH ARMSTRONG ZAMORA
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Credential | D.M.D
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Telephone | 443-698-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 15448
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License Number State | MD
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