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General NPI Number Information
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NPI Number | 1073580007
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Entity Type | Organization
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Legal Business Name | GREGORY L PASKERIAN DMD PC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 55 MAIN ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-872-3200
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Fax | 508-872-9928
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Provider Business Mailing Address
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Address Line | 55 MAIN ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-872-3200
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Fax | 508-872-9928
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY L PASKERIAN
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Credential | DMD
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Telephone | 508-872-3200
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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 | 10983
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License Number State | MA
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