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General NPI Number Information
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NPI Number | 1487800918
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Entity Type | Individual
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Provider Name | AMY MARLENE RESPONDEK DDS
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Gender | Female
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 6798 OAK HALL LN STE A1
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City | COLUMBIA
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State | MD
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Zip | 21045-5167
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Country | US
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Telephone | 410-290-7757
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Fax | 410-290-8812
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Provider Business Mailing Address
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Address Line | 12722 TEABERRY RD
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City | SILVER SPRING
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State | MD
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Zip | 20906-3365
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Country | US
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Telephone | 586-202-0334
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 16739
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901019804
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2901019804
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 16739
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License Number State | MD
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