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General NPI Number Information
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NPI Number | 1184735326
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Entity Type | Organization
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Legal Business Name | RIGALI & WALDER ORTHODONTICS
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 269 LOCUST STREET
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City | NORTHAMPTON
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State | MA
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Zip | 01062
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Country | US
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Telephone | 413-586-8455
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Fax | 413-584-2261
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Provider Business Mailing Address
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Address Line | 269 LOCUST STREET
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City | NORTHAMPTON
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State | MA
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Zip | 01062
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Country | US
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Telephone | 413-586-8455
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Fax | 413-584-2261
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOAN F WALDER
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Credential | DDS
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Telephone | 413-586-8455
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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 | 19003
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 15615
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License Number State | MA
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