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General NPI Number Information
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NPI Number | 1750907648
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Entity Type | Individual
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Provider Name | AYSHAH MAHMUD DDS
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 1750 ROCKVILLE PIKE
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City | ROCKVILLE
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State | MD
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Zip | 20852-1658
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Country | US
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Telephone | 301-287-4018
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Fax |
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Provider Business Mailing Address
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Address Line | 5401 MCGRATH BLVD APT 1621
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-8671
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Country | US
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Telephone | 443-676-5686
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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 | 17305
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License Number State | MD
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