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General NPI Number Information
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NPI Number | 1184300402
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Entity Type | Organization
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Legal Business Name | MD MAULE DMD MBA LLC
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 6 PARK PL STE 2
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1403
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Country | US
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Telephone | 860-438-6687
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Fax |
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Provider Business Mailing Address
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Address Line | 85 LAFAYETTE ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-1803
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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 | PRESIDENT
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Name | DR. MARGARET DROZDOWSKI MAULE
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Credential | DMD
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Telephone | 860-224-3642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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