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General NPI Number Information
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NPI Number | 1023598794
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Entity Type | Organization
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Legal Business Name | INVISIBLE ORTHODONTICS PC
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | ONE DERBY ST SUITE 2
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City | HINGHAM
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State | MA
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Zip | 02043
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Country | US
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Telephone | 508-286-6800
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Fax |
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Provider Business Mailing Address
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Address Line | ONE DERBY ST SUITE 2
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City | HINGHAM
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State | MA
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Zip | 02043
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Country | US
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Telephone | 508-286-6800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS ZAFIROPOULOS
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Credential | DMD
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Telephone | 508-286-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN19006
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License Number State | MA
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