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General NPI Number Information
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NPI Number | 1891137410
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Entity Type | Individual
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Provider Name | MOSHE STERN DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 7211 PARK HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21208-5403
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Country | US
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Telephone | 917-612-6468
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 WILLOW GLEN DR
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City | BALTIMORE
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State | MD
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Zip | 21209-3107
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Country | US
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Telephone | 917-612-6468
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14690
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License Number State | MD
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