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General NPI Number Information
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NPI Number | 1194810143
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Entity Type | Individual
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Provider Name | SHEILA L BRIJADE DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 123 SCHOOL ST STE 1
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City | PAWTUCKET
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State | RI
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Zip | 02860-4270
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Country | US
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Telephone | 401-834-1200
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Fax | 401-834-1201
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Provider Business Mailing Address
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Address Line | 123 SCHOOL ST STE 1
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City | PAWTUCKET
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State | RI
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Zip | 02860-4270
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Country | US
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Telephone | 401-834-1200
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Fax | 401-834-1201
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30022274
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6111
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN4211
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License Number State | ME
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