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General NPI Number Information
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NPI Number | 1932840402
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Entity Type | Individual
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Provider Name | MAXWELL BARAN
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Gender | Male
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 500 N INDIANA AVE
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City | WINSLOW
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State | AZ
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Zip | 86047-2169
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Country | US
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Telephone | 928-289-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 9207 BYRON TER
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City | BURKE
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State | VA
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Zip | 22015-2037
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Country | US
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Telephone | 703-389-3567
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7615
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License Number State | LA
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