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General NPI Number Information
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NPI Number | 1003141086
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Entity Type | Organization
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Legal Business Name | MELANIE M. RABENI DDS, PC
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 45 RESNIK RD SUITE 102
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City | PLYMOUTH
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State | MA
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Zip | 02360-4844
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Country | US
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Telephone | 508-746-4856
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Fax | 508-927-4709
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Provider Business Mailing Address
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Address Line | 45 RESNIK RD SUITE 102
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City | PLYMOUTH
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State | MA
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Zip | 02360-4844
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Country | US
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Telephone | 508-746-4856
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Fax | 508-927-4709
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MELANIE RABENI
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Credential | DDS
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Telephone | 508-746-4856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1855081
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License Number State | MA
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