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General NPI Number Information
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NPI Number | 1124157086
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Entity Type | Organization
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Legal Business Name | BEDFORD DENTAL ASSOCIATES
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 LOOMIS ST
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City | BEDFORD
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State | MA
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Zip | 01730-2208
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Country | US
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Telephone | 781-275-7072
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Fax | 781-275-9118
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Provider Business Mailing Address
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Address Line | 50 LOOMIS ST
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City | BEDFORD
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State | MA
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Zip | 01730-2208
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Country | US
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Telephone | 781-275-7072
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Fax | 781-275-9118
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. MICHAEL S GARBER
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Credential | D.M.D
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Telephone | 781-275-7072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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