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General NPI Number Information
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NPI Number | 1730287186
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Entity Type | Organization
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Legal Business Name | BARRY W DAHL DMD PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10632 LITTLE PATUCENT PKWY STE 105
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City | COLUMBIA
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State | MD
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Zip | 21044-6256
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Country | US
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Telephone | 410-997-2020
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Fax | 410-997-2020
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Provider Business Mailing Address
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Address Line | 10632 LITTLE PATUXENT PKWY STE 105
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City | COLUMBIA
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State | MD
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Zip | 21044-6256
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Country | US
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Telephone | 410-997-2020
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Fax | 410-997-2020
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Authorized Official
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Title or Position | PRESIDENT DENTIST
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Name | BARRY WAYNE DAHL
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Credential | DMD
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Telephone | 410-997-2020
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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 | 5470
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License Number State | MD
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