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General NPI Number Information
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NPI Number | 1881701993
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Entity Type | Individual
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Provider Name | JOHN P SLOAN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 MORRIS AVE
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City | FEDERALSBURG
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State | MD
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Zip | 21632-1001
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Country | US
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Telephone | 410-479-1320
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Fax | 410-479-3098
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Provider Business Mailing Address
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Address Line | PO BOX 479
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City | FEDERALSBURG
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State | MD
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Zip | 21632-0479
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Country | US
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Telephone | 410-479-1320
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Fax | 410-479-3098
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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 | 4777
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License Number State | MD
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