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General NPI Number Information
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NPI Number | 1063767663
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Entity Type | Organization
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Legal Business Name | MELANIE K. DUFOUR-PILNY
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 1035 MAIN ST
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City | HOPE VALLEY
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State | RI
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Zip | 02832-1608
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Country | US
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Telephone | 401-539-1090
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Fax | 401-539-7460
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Provider Business Mailing Address
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Address Line | 1035 MAIN ST
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City | HOPE VALLEY
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State | RI
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Zip | 02832-1608
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Country | US
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Telephone | 401-539-1090
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Fax | 401-539-7460
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE K DUFOUR-PILNY
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Credential | D.M.D.
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Telephone | 401-539-1090
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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 | 2167
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License Number State | RI
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