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General NPI Number Information
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NPI Number | 1134083173
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Entity Type | Organization
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Legal Business Name | TINY TEETH PEDIATRIC DENTISTRY PA LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 60 SECOND ST
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City | AUBURN
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State | ME
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Zip | 04210-6853
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Country | US
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Telephone | 347-743-2419
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Fax |
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Provider Business Mailing Address
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Address Line | 24 CABOT DR
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City | NASHUA
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State | NH
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Zip | 03064-1632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | CHERICE LIM
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Credential |
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Telephone | 347-743-2419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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