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General NPI Number Information
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NPI Number | 1225994155
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Entity Type | Organization
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Legal Business Name | BEDFORD ENDODONTICS
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 206 RIVERWAY PL BLDG 2
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City | BEDFORD
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State | NH
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Zip | 03110-6763
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Country | US
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Telephone | 603-698-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 206 RIVERWAY PL BLDG 2
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City | BEDFORD
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State | NH
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Zip | 03110-6763
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Country | US
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Telephone | 603-698-0222
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST
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Name | DR. LUZ MARINA JUTRAS
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Credential | DMD. MMSC
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Telephone | 603-698-0222
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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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