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General NPI Number Information
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NPI Number | 1588788707
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Entity Type | Individual
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Provider Name | LAURA A PERELL D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 521 E JOPPA RD SUITE 200
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City | TOWSON
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State | MD
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Zip | 21286-5419
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Country | US
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Telephone | 410-828-4544
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Fax | 410-828-4544
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Provider Business Mailing Address
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Address Line | 521 E JOPPA RD SUITE 200
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City | TOWSON
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State | MD
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Zip | 21286-5419
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Country | US
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Telephone | 410-828-4544
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Fax | 410-828-4544
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 9983
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License Number State | MD
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