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General NPI Number Information
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NPI Number | 1871834234
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Entity Type | Organization
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Legal Business Name | HYPERION DENTAL MANAGEMENT, LLC
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 122 N PHILADELPHIA BLVD
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City | ABERDEEN
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State | MD
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Zip | 21001-2513
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Country | US
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Telephone | 410-272-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 122 N PHILADELPHIA BLVD
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City | ABERDEEN
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State | MD
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Zip | 21001-2513
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Country | US
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Telephone | 410-272-2636
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Fax |
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Authorized Official
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Title or Position | DENTAL DIRECTOR
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Name | DR. KERRY F CROCKEN
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Credential | D.D.S.
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Telephone | 410-441-9400
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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 | 12762
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License Number State |
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