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General NPI Number Information
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NPI Number | 1932965308
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Entity Type | Individual
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Provider Name | JODY BERINATO RDH, BS
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Gender | Female
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 20 E TIMONIUM RD STE 300
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City | TIMONIUM
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State | MD
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Zip | 21093-3458
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Country | US
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Telephone | 410-252-3717
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Fax |
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Provider Business Mailing Address
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Address Line | 7831 SHEPHERD AVE
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City | PARKVILLE
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State | MD
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Zip | 21234-5415
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Country | US
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Telephone | 410-303-6507
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 6592
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License Number State | MD
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