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General NPI Number Information
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NPI Number | 1144498049
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Entity Type | Organization
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Legal Business Name | LEXINGTON DENTAL ASSOCIATES
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 271 LINCOLN STREET SUITE 2
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City | LEXINGTON
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State | MA
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Zip | 02421
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Country | US
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Telephone | 781-862-0350
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Fax | 781-862-1803
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Provider Business Mailing Address
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Address Line | 271 LINCOLN STREET SUITE 2
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City | LEXINGTON
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State | MA
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Zip | 02421
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Country | US
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Telephone | 781-862-0350
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Fax | 781-862-1803
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. PASCALE BERTY
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Credential | D.M.D.
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Telephone | 781-862-0350
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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 |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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