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General NPI Number Information
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NPI Number | 1962819185
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Entity Type | Individual
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Provider Name | SASHA JANE BETZ D.D.S, M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | NMLPDC BLDG 1 2ND FL RM 2578 8955 WOODS RD
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 570-234-6871
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Fax |
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Provider Business Mailing Address
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Address Line | NMLPDC BLDG 1 2ND FL RM 2578 8955 WOODS RD
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 570-234-6871
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 9822
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 09822
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License Number State | NC
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