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General NPI Number Information
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NPI Number | 1174844153
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH PAISNER DMD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 78 NORTHEASTERN BLVD STE 5
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City | NASHUA
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State | NH
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Zip | 03062-3179
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Country | US
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Telephone | 603-883-6546
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Fax | 603-595-1826
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Provider Business Mailing Address
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Address Line | 78 NORTHEASTERN BLVD STE 5
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City | NASHUA
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State | NH
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Zip | 03062-3179
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Country | US
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Telephone | 603-883-6546
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Fax | 603-595-1826
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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 | 03778
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License Number State | NH
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