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General NPI Number Information
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NPI Number | 1336360791
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Entity Type | Organization
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Legal Business Name | TOWSONTOWN DENTAL ASSOCIATES
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 7801 YORK RD SUITE 218
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City | TOWSON
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State | MD
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Zip | 21204-7446
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Country | US
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Telephone | 410-583-7744
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Fax | 410-337-3587
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Provider Business Mailing Address
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Address Line | 7801 YORK RD SUITE 218
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City | TOWSON
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State | MD
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Zip | 21204-7446
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Country | US
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Telephone | 410-583-7744
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Fax | 410-337-3587
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA BISSELL ZEFFERT
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Credential | D.D.S.
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Telephone | 410-583-7744
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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 | 9893
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License Number State | MD
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