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General NPI Number Information
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NPI Number | 1356552699
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Entity Type | Individual
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Provider Name | PATRICK S CIEPLAK DDS
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 6265 CRAIN HWY
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City | LA PLATA
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State | MD
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Zip | 20646-4266
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Country | US
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Telephone | 301-609-9999
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Fax | 240-898-1842
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Provider Business Mailing Address
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Address Line | 6265 CRAIN HWY
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City | LA PLATA
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State | MD
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Zip | 20646-4266
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Country | US
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Telephone | 301-609-9999
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Fax | 240-898-1842
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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 | 8263
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License Number State | MD
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