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General NPI Number Information
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NPI Number | 1104947480
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Entity Type | Organization
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Legal Business Name | ANDREW J. DADAGIAN, M.D., INC.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 225 FIELD ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2134
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Country | US
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Telephone | 508-991-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 225 FIELD ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2134
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Country | US
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Telephone | 508-991-2500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW J DADAGIAN
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Credential | M.D.
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Telephone | 508-991-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 30374
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License Number State | MA
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