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General NPI Number Information
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NPI Number | 1851505911
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Entity Type | Individual
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Provider Name | DANIEL V MASCIANTONIO DMD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 230 W DARES BEACH RD
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-3150
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Country | US
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Telephone | 410-535-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 22633 HOLLAND SHORE DR
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City | CALIFORNIA
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State | MD
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Zip | 20619
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Country | US
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Telephone | 410-535-5055
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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 | 8583
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License Number State | MD
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