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General NPI Number Information
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NPI Number | 1982104329
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Entity Type | Individual
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Provider Name | ANDREW NADEN
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Gender | Male
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 10 WARREN RD STE 300
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-2506
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Country | US
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Telephone | 410-220-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 14421 MAPLE RIDGE CT
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City | BALDWIN
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State | MD
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Zip | 21013-9500
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Country | US
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Telephone | 443-904-6956
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 17325
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License Number State | MD
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