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General NPI Number Information
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NPI Number | 1710180427
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Entity Type | Individual
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Provider Name | SARAH LYDEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 2300 BEL AIR RD
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City | FALLSTON
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State | MD
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Zip | 21047-2749
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Country | US
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Telephone | 410-493-4987
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Fax |
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Provider Business Mailing Address
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Address Line | 33 CENTENNIAL ST
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City | FROSTBURG
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State | MD
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Zip | 21532-1205
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Country | US
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Telephone | 410-493-4987
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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 | 043467
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 150561
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14043
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License Number State | MD
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