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General NPI Number Information
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NPI Number | 1013593490
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Entity Type | Organization
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Legal Business Name | WEYMOUTH DENTAL ARTS, PLLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 08/14/2021
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Provider Practice Location Address
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Address Line | 293 LIBBEY INDUSTRIAL PKWY STE A-100
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City | WEYMOUTH
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State | MA
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Zip | 02189-3139
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Country | US
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Telephone | 781-526-5042
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Fax |
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Provider Business Mailing Address
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Address Line | 3 JAMIE LN
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City | SHREWSBURY
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State | MA
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Zip | 01545-6319
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Country | US
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Telephone | 781-526-5042
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. AMMAR BASH
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Credential | DMD
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Telephone | 781-526-5042
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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 |
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License Number State |
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