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General NPI Number Information
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NPI Number | 1184718991
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Entity Type | Organization
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Legal Business Name | ENDODONTIC ASSOCIATES OF CAPE COD, P.C.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 700 ATTUCKS LN SUITE 2C
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City | HYANNIS
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State | MA
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Zip | 02601-1809
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Country | US
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Telephone | 508-771-4320
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Fax | 508-775-4384
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Provider Business Mailing Address
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Address Line | 700 ATTUCKS LN SUITE 2C
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City | HYANNIS
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State | MA
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Zip | 02601-1809
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Country | US
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Telephone | 508-771-4320
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Fax | 508-775-4384
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Authorized Official
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Title or Position | TREASURER
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Name | DR. GABRIEL C. TAGHER
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Credential | D.M.D.
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Telephone | 508-771-4320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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