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General NPI Number Information
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NPI Number | 1285055095
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Entity Type | Organization
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Legal Business Name | OGILVIE CORPORATION
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 240 BAXTERS NECK RD
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City | MARSTONS MILLS
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State | MA
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Zip | 02648-1813
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Country | US
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Telephone | 561-866-6142
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Fax |
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Provider Business Mailing Address
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Address Line | 1928 THATCH PALM DR
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City | BOCA RATON
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State | FL
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Zip | 33432-7457
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Country | US
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Telephone | 561-866-6142
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY ALAN LEHMAN
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Credential | DDS
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Telephone | 561-866-6142
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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 | DN12896
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License Number State | MA
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