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General NPI Number Information
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NPI Number | 1154882058
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Entity Type | Organization
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Legal Business Name | ASPIRE DENTAL CARE PLLC
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 74 COUNTY ST
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City | MATTAPOISETT
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State | MA
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Zip | 02739-1641
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Country | US
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Telephone | 508-758-4925
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Fax |
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Provider Business Mailing Address
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Address Line | 74 COUNTY ST
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City | MATTAPOISETT
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State | MA
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Zip | 02739-1641
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Country | US
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Telephone | 508-758-4925
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Fax |
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Authorized Official
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Title or Position | MANAGER/PRESIDENT
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Name | SATHVIK, BEGUR SESAHDRI
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Credential | DMD
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Telephone | 617-922-9310
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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 |
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