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General NPI Number Information
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NPI Number | 1952193898
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Entity Type | Organization
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Legal Business Name | MANISHA DHANANJAYA DDS LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 8895 CENTRE PARK DR STE D
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City | COLUMBIA
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State | MD
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Zip | 21045-1966
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Country | US
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Telephone | 410-997-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 2933 EXCELSIOR SPRINGS CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-7622
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Country | US
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Telephone | 484-999-1169
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MANISHA DHANANJAYA
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Credential | DDS
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Telephone | 484-999-1169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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