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General NPI Number Information
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NPI Number | 1588829931
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Entity Type | Individual
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Provider Name | RION D BLAGROVE DDS
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Gender | Male
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 3731 BRANCH AVE STE 301
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City | HILLCREST HEIGHTS
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State | MD
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Zip | 20748-1406
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Country | US
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Telephone | 301-702-3382
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Fax |
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Provider Business Mailing Address
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Address Line | 3731 BRANCH AVE STE 301
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City | HILLCREST HEIGHTS
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State | MD
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Zip | 20748-1406
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Country | US
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Telephone | 301-702-3382
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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 | 14273
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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 | DEN1001001
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License Number State | DC
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