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General NPI Number Information
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NPI Number | 1902319619
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Entity Type | Organization
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Legal Business Name | BAHRU S. NURE, DDS, P.C.
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 9009 WOODYARD RD UNIT 103
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 301-868-5439
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Fax |
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Provider Business Mailing Address
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Address Line | 9009 WOODYARD RD UNIT 103
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 301-868-5439
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | BAHRU S NURE
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Credential | DDS
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Telephone | 301-868-5439
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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 |
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License Number State |
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