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General NPI Number Information
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NPI Number | 1821627589
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Entity Type | Individual
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Provider Name | MICHELLE AYOROA-PEREZ DDS
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Gender | Female
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 8601 VETERANS HWY STE 101
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1571
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Country | US
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Telephone | 410-987-8800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1978
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City | SALISBURY
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State | MD
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Zip | 21802-1978
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Country | US
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Telephone | 410-749-1015
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Fax | 410-749-0654
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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 | 17725
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License Number State | MD
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