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General NPI Number Information
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NPI Number | 1154975852
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Entity Type | Individual
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Provider Name | DR. DEVON BINNS
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Gender | Male
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 188 LONGWOOD AVE.
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City | BOSTON
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State | MA
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Zip | 02115
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Country | US
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Telephone | 617-432-1434
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Fax |
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Provider Business Mailing Address
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Address Line | 89 NEEDHAM ST. APT. 2227
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City | NEWTON
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State | MA
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Zip | 02461
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Country | US
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Telephone | 617-581-8346
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DL14144
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License Number State | MA
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