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General NPI Number Information
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NPI Number | 1821978057
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Entity Type | Organization
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Legal Business Name | MOUNT WASHINGTON ORTHODONTICS
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1501 SULGRAVE AVE STE 203
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City | BALTIMORE
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State | MD
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Zip | 21209-3650
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Country | US
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Telephone | 410-449-5488
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Fax |
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Provider Business Mailing Address
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Address Line | 5042 DORSEY HALL DR STE 103
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-7826
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PARDIS PARIZADEH
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Credential | DDS
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Telephone | 410-884-9929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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