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General NPI Number Information
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NPI Number | 1083815930
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Entity Type | Individual
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Provider Name | ALDORA HEPEL D.D.S
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 1762 OLD LOUISQUISSET PIKE
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City | LINCOLN
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State | RI
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Zip | 02865
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Country | US
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Telephone | 617-686-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 40 OSPREY DR
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1338
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Country | US
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Telephone | 617-686-1220
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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 | 03237
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License Number State | RI
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