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General NPI Number Information
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NPI Number | 1366463408
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Entity Type | Individual
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Provider Name | SECUNDA TAMARA WRIGHT-PERRY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 9507 ATOM ROAD
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City | CLINTON
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State | MD
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Zip | 20735-2902
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Country | US
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Telephone | 301-806-2155
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Fax | 240-244-2187
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Provider Business Mailing Address
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Address Line | 9507 ATOM ROAD
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City | CLINTON
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State | MD
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Zip | 20735-2902
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Country | US
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Telephone | 301-806-2155
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Fax | 240-244-2187
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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 | 8953
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License Number State | MD
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