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General NPI Number Information
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NPI Number | 1053523589
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Entity Type | Individual
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Provider Name | PAULA STERN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 780 FARMINGTON AVENUE
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City | WEST HARTFORD
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State | CT
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Zip | 06119
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Country | US
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Telephone | 860-232-6865
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Fax | 860-232-6865
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Provider Business Mailing Address
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Address Line | 4 SUMMER BROOK LANE
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City | CROMWELL
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State | CT
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Zip | 06416
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Country | US
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Telephone | 860-632-9552
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Fax | 860-632-0331
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 007162
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License Number State | CT
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