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General NPI Number Information
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NPI Number | 1174061238
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Entity Type | Organization
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Legal Business Name | FATIMA H MAAROUF, DDS, PLLC
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 313 MAIN ST
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City | WINTHROP
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State | MA
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Zip | 02152-1964
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Country | US
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Telephone | 617-846-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 313 MAIN ST
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City | WINTHROP
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State | MA
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Zip | 02152-1964
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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 | DENTIST
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Name | DR. FATIMA H MAAROUF
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Credential | DDS
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Telephone | 617-982-3674
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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 | DN1855935
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License Number State | MA
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