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General NPI Number Information
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NPI Number | 1730217100
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Entity Type | Individual
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Provider Name | RONALD J HOLLANDER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 ST PATRICKS DRIVE
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City | WALDORF
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State | MD
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Zip | 20603-4574
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Country | US
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Telephone | 301-893-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 125 ST PATRICKS DRIVE
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City | WALDORF
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State | MD
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Zip | 20603-4574
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Country | US
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Telephone | 301-893-2000
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 08987
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License Number State | MD
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