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General NPI Number Information
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NPI Number | 1194447755
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Entity Type | Organization
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Legal Business Name | DRAPER DENTAL PC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 116 COCHITUATE RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-7989
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Country | US
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Telephone | 508-872-8806
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Fax | 508-879-8550
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Provider Business Mailing Address
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Address Line | 116 COCHITUATE RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-7989
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Country | US
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Telephone | 508-872-8806
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Fax | 508-879-8550
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. CAMILLE M DRAPER
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Credential | DMD
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Telephone | 989-598-0262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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