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General NPI Number Information
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NPI Number | 1811308521
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Entity Type | Organization
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Legal Business Name | SMILEYOURWAY LLC
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 5402 QUEENS CHAPEL RD
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3901
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Country | US
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Telephone | 443-527-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 5402 QUEENS CHAPEL RD
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3901
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Country | US
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Telephone | 443-527-5433
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PALLAVI SINHA
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Credential | DMD
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Telephone | 443-527-5433
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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 |
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License Number State |
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