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NPI 1417206970

NPI 1417206970 : JARRED ABEL, DDS, PC : CHEVY CHASE, MD

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General NPI Number Information
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    NPI Number           |    1417206970
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    Entity Type          |    Organization 
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    Legal Business Name  |    JARRED ABEL, DDS, PC 
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Dates
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    Enumeration Date     |    08/30/2012
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    Last Update Date     |    10/17/2019
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Provider Practice Location Address
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    Address Line         |    5530 WISCONSIN AVE. SUITE 930 
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815
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    Country              |    US
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    Telephone            |    301-652-7372
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    Fax                  |    301-652-5806
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Provider Business Mailing Address
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    Address Line         |    5530 WISCONSIN AVE. SUITE 930 
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815
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    Country              |    US
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    Telephone            |    301-652-7372
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    Fax                  |    301-652-5806
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Authorized Official
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    Title or Position    |    PRESIDENT.
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    Name                 |    DR. JARRED SCOTT ABEL 
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    Credential           |    DDS, PC
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    Telephone            |    301-652-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QS0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery Clinic/Center
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    License Number       |    14850
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    License Number State |    MD
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