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NPI 1992444996

NPI 1992444996 : UMAR H MIAN DDS : GETTYSBURG, PA

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General NPI Number Information
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    NPI Number           |    1992444996
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    Entity Type          |    Individual 
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    Provider Name        |    UMAR H MIAN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2022
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    Last Update Date     |    07/20/2023
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Provider Practice Location Address
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    Address Line         |    1650 BIGLERVILLE RD 
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    City                 |    GETTYSBURG
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    State                |    PA
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    Zip                  |    17325-8031
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    Country              |    US
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    Telephone            |    240-444-0482
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26002 STANLEY HILLS WAY 
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    City                 |    DAMASCUS
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    State                |    MD
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    Zip                  |    20872-1207
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    Country              |    US
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    Telephone            |    240-444-0482
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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       |    17851
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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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       |    DS044139
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    License Number State |    PA
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