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General NPI Number Information
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NPI Number | 1811067952
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Entity Type | Individual
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Provider Name | HOWARD L NELSON DDS
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 1144 OPAL COURT
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City | HAGERSTOWN
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State | MD
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Zip | 21740
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Country | US
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Telephone | 301-733-2500
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Fax | 301-733-9600
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Provider Business Mailing Address
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Address Line | 1007 SUSHRUTA DRIVE
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City | MARTINSBURG
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State | WV
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Zip | 25401
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Country | US
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Telephone | 304-263-0991
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Fax | 304-274-9546
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3550
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12507
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN5975
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS035393
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License Number State | PA
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