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General NPI Number Information
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NPI Number | 1912624669
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Entity Type | Organization
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Legal Business Name | LANG ORTHODONTICS
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 10030 BALTIMORE NATIONAL PIKE STE D120
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3608
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Country | US
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Telephone | 410-461-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 YORK RD STE 204
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6042
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Country | US
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Telephone | 410-821-6458
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARIA STANLEY
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Credential |
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Telephone | 410-461-2700
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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 |
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License Number State |
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