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General NPI Number Information
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NPI Number | 1982821351
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Entity Type | Individual
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Provider Name | NATHINEE JAIARJ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 1134 N ROLLING RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-3826
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Country | US
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Telephone | 410-788-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 10430 SWIFT STREAM PL APT 403
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City | COLUMBIA
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State | MD
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Zip | 21044-4565
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Country | US
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Telephone | 410-718-6682
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 13838
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License Number State | MD
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