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General NPI Number Information
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NPI Number | 1396454849
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Entity Type | Individual
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Provider Name | WILMARY FLEISCHMANN RDH
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Gender | Female
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 1030 S LINWOOD AVE UNIT 200
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City | BALTIMORE
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State | MD
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Zip | 21224-5091
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Country | US
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Telephone | 410-921-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 ESSEX ST
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City | BALTIMORE
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State | MD
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Zip | 21231-3211
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Country | US
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Telephone | 682-465-7432
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 13576
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 002026552
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | A9170
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License Number State | MD
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