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General NPI Number Information
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NPI Number | 1497041586
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Entity Type | Individual
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Provider Name | MARIA RATH MCSOLEY D.D.S
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Gender | Female
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 1149 STONE DR
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City | HARRISON
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State | OH
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Zip | 45030-2763
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Country | US
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Telephone | 513-367-0113
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Fax |
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Provider Business Mailing Address
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Address Line | 1149 STONE DR
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City | HARRISON
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State | OH
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Zip | 45030-2763
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Country | US
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Telephone | 513-367-0113
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30-023486
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License Number State | OH
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