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NPI 1245302058

NPI 1245302058 : DAVID BRUCE STAPLES DDS : DOVER, NH

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General NPI Number Information
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    NPI Number           |    1245302058
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID BRUCE STAPLES DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/15/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    801 CENTRAL AVE 
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    City                 |    DOVER
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    State                |    NH
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    Zip                  |    03820
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    Country              |    US
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    Telephone            |    603-742-8844
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    Fax                  |    603-749-8882
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Provider Business Mailing Address
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    Address Line         |    2 RUTHIES RUN 
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    City                 |    DOVER
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    State                |    NH
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    Zip                  |    03820
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    Country              |    US
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    Telephone            |    603-742-5872
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2220
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    License Number State |    NH
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