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General NPI Number Information
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NPI Number | 1285511337
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Entity Type | Organization
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Legal Business Name | COHASSET PERIO PLLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 164 CHIEF JUSTICE CUSHING HWY
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City | COHASSET
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State | MA
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Zip | 02025-1223
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Country | US
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Telephone | 781-383-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 128 SUMNER ST
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City | MILTON
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State | MA
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Zip | 02186-2555
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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 | OWNER
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Name | POOYAN REFAHI
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Credential |
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Telephone | 571-277-6410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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