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NPI 1619970712

NPI 1619970712 : HOWARD R. STRAUSS, DDS, PA : CUMBERLAND, MD

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General NPI Number Information
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    NPI Number           |    1619970712
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOWARD R. STRAUSS, DDS, PA 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    11/01/2012
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Provider Practice Location Address
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    Address Line         |    925 BISHOP WALSH RD STE 2
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    City                 |    CUMBERLAND
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    State                |    MD
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    Zip                  |    21502-1845
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    Country              |    US
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    Telephone            |    301-777-1100
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    Fax                  |    301-777-3135
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Provider Business Mailing Address
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    Address Line         |    925 BISHOP WALSH RD STE 2
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    City                 |    CUMBERLAND
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    State                |    MD
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    Zip                  |    21502-1845
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    Country              |    US
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    Telephone            |    301-777-1100
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    Fax                  |    301-777-3135
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. HOWARD ROBERT STRAUSS 
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    Credential           |    DDS
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    Telephone            |    301-777-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QS0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery Clinic/Center
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    License Number       |    5688
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    License Number State |    MD
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