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General NPI Number Information
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NPI Number | 1023456001
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Entity Type | Individual
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Provider Name | HELEN FASSIL D.M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 297 UNION AVE
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6337
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Country | US
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Telephone | 617-785-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HARRISON AVE UNIT 204
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City | BOSTON
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State | MA
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Zip | 02118-2631
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Country | US
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Telephone | 617-785-0532
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Fax | 508-473-0133
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN1856935
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License Number State | MA
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