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General NPI Number Information
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NPI Number | 1992024251
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Entity Type | Individual
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Provider Name | ABIGAIL MINA STRINGER WILLITSFORD D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 9917 CARRIGAN DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3617
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Country | US
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Telephone | 814-404-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 9917 CARRIGAN DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3617
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Country | US
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Telephone | 814-404-6601
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19266
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License Number State | FL
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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 | 15086
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License Number State | MD
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