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General NPI Number Information
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NPI Number | 1982849824
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Entity Type | Individual
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Provider Name | SONIA ELISABETH CLESNER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2008
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 4644 RIDGE RD
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City | MOUNT AIRY
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State | MD
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Zip | 21771-8901
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Country | US
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Telephone | 410-875-2323
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Fax | 410-875-2323
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Provider Business Mailing Address
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Address Line | 4644 RIDGE RD
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City | MOUNT AIRY
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State | MD
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Zip | 21771-8901
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Country | US
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Telephone | 410-875-2323
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Fax | 410-875-2323
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8011
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4060
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401008554
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License Number State | VA
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