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General NPI Number Information
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NPI Number | 1275916116
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Entity Type | Individual
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Provider Name | DANIEL MOYNIHAN DMD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 400 UNION AVE
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5889
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Country | US
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Telephone | 508-879-1410
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Fax |
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Provider Business Mailing Address
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Address Line | 322 PLEASANT ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1104
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Country | US
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Telephone |
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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 | DN1856955
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN1856955
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License Number State | MA
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