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General NPI Number Information
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NPI Number | 1659572881
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Entity Type | Individual
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Provider Name | ASUGMAN ATAM D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 751 ROCKVILLE PIKE STE 10A
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City | ROCKVILLE
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State | MD
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Zip | 20852-1142
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Country | US
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Telephone | 301-424-7150
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Fax | 202-595-1371
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Provider Business Mailing Address
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Address Line | 751 ROCKVILLE PIKE STE 10A
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City | ROCKVILLE
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State | MD
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Zip | 20852-1142
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Country | US
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Telephone | 301-424-7150
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Fax | 202-595-1371
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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 | 9213
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License Number State | MD
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