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General NPI Number Information
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NPI Number | 1497969208
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE BAY DENTAL PA
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 328 N PHILADELPHIA BLVD
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City | ABERDEEN
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State | MD
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Zip | 21001-1910
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Country | US
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Telephone | 410-273-5446
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Fax |
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Provider Business Mailing Address
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Address Line | 328 N PHILADELPHIA BLVD
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City | ABERDEEN
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State | MD
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Zip | 21001-1910
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Country | US
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Telephone | 410-273-5446
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAMEEM AARA BHAM
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Credential | DDS
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Telephone | 410-273-5446
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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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