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General NPI Number Information
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NPI Number | 1063320984
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Entity Type | Organization
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Legal Business Name | CLIFF RIDGE OF MASSACHUSETTS, P.C.
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 413 BROADWAY STE B
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City | METHUEN
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State | MA
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Zip | 01844-2062
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Country | US
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Telephone | 978-425-1496
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Fax |
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Provider Business Mailing Address
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Address Line | 413 BROADWAY STE B
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City | METHUEN
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State | MA
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Zip | 01844-2062
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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 | OWNER
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Name | MONA DANESHI
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Credential |
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Telephone | 631-206-5944
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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 |
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License Number State |
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