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General NPI Number Information
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NPI Number | 1104043579
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Entity Type | Organization
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Legal Business Name | ROBERT P. MOSKAL DMD PC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 835 W CENTRAL ST SECOND FLOOR
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City | FRANKLIN
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State | MA
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Zip | 02038-3188
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Country | US
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Telephone | 508-553-8989
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Fax | 508-553-8999
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Provider Business Mailing Address
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Address Line | 835 W CENTRAL ST SECOND FLOOR
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City | FRANKLIN
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State | MA
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Zip | 02038-3188
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Country | US
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Telephone | 508-553-8989
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Fax | 508-553-8999
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT PAUL MOSKAL
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Credential | DMD
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Telephone | 508-553-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 19659
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License Number State | MA
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