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General NPI Number Information
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NPI Number | 1255956884
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Entity Type | Individual
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Provider Name | DR. GIANNA SCHUHKNECHT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 326 NICHOLS ST
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City | FITCHBURG
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State | MA
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Zip | 01420
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Country | US
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Telephone | 978-878-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 38 SPRINGFIELD ST
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City | SOMERVILLE
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State | MA
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Zip | 02143-4018
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Country | US
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Telephone | 857-320-9650
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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 | DL14401
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License Number State | MA
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