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General NPI Number Information
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NPI Number | 1275086951
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Entity Type | Organization
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Legal Business Name | SEABREEZE DENTAL, P.C.
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 28 FAIRHAVEN RD
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City | MATTAPOISETT
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State | MA
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Zip | 02739-1479
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Country | US
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Telephone | 508-535-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 28 FAIRHAVEN RD
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City | MATTAPOISETT
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State | MA
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Zip | 02739-1479
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Country | US
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Telephone | 508-535-5647
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK T VARINOS
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Credential |
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Telephone | 978-766-9402
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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 | DN1857228
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 16578
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License Number State | MA
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