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General NPI Number Information
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NPI Number | 1497567572
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Entity Type | Organization
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Legal Business Name | SONGBIRD DENTAL LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD STE 102
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City | CATONSVILLE
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State | MD
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Zip | 21228-4141
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Country | US
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Telephone | 410-744-3446
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Fax |
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Provider Business Mailing Address
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Address Line | 516 N ROLLING RD STE 102
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City | CATONSVILLE
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State | MD
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Zip | 21228-4141
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Country | US
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Telephone | 107-443-4464
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JASMINE GEAR
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Credential | DDS
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Telephone | 410-744-3446
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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 |
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License Number State |
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