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General NPI Number Information
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NPI Number | 1053763771
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Entity Type | Individual
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Provider Name | CAMILLE DRAPER D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 116 COCHITUATE RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-7989
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Country | US
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Telephone | 508-872-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 421 E 3RD ST APT 3
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City | BOSTON
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State | MA
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Zip | 02127-1413
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Country | US
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Telephone |
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901022011
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1857797
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License Number State | MA
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