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General NPI Number Information
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NPI Number | 1710266465
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Entity Type | Individual
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Provider Name | CAITLIN DORA DARCEY DMD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 900 RITCHIE HWY STE 103
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4190
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Country | US
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Telephone | 411-647-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 BRISTOL RIDGE PL
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City | CROWNSVILLE
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State | MD
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Zip | 21032-2217
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Country | US
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Telephone | 267-408-0975
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 15035
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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 | 15035
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License Number State | MD
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