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General NPI Number Information
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NPI Number | 1255503702
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Entity Type | Organization
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Legal Business Name | THOMAS J BARA DMD
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 59 WEST MAIN ST
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City | HILLSBORO
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State | NH
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Zip | 03244
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Country | US
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Telephone | 603-464-4100
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Fax | 603-464-2036
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Provider Business Mailing Address
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Address Line | PO BOX 2280 59 WEST MAIN ST
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City | HILLSBORO
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State | NH
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Zip | 03244
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Country | US
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Telephone | 603-464-4100
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Fax | 603-464-2036
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | THOMAS J BARA
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Credential | DMD
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Telephone | 603-464-4100
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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 | 2643
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License Number State | NH
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