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General NPI Number Information
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NPI Number | 1255451878
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Entity Type | Individual
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Provider Name | BINCA C WARREN DMD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 264 ELM ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2857
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Country | US
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Telephone | 413-584-2902
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Fax | 413-586-9904
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Provider Business Mailing Address
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Address Line | 222 WINSOR ST
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City | LUDLOW
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State | MA
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Zip | 01056-3523
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Country | US
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Telephone | 413-583-3324
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Fax | 413-583-5124
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19283
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License Number State | MA
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