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General NPI Number Information
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NPI Number | 1184508152
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Entity Type | Organization
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Legal Business Name | WHITINSVILLE ORTHODONTICS PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 102 CHURCH ST
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City | WHITINSVILLE
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State | MA
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Zip | 01588-1416
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Country | US
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Telephone | 508-612-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 131 SEAPORT BLVD APT 1521
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City | BOSTON
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State | MA
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Zip | 02210-3050
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Country | US
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Telephone | 508-612-2230
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALYSSA KOTIN
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Credential | DMD
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Telephone | 508-612-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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