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General NPI Number Information
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NPI Number | 1285712794
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Entity Type | Individual
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Provider Name | FREDERICK JOSEPH INSOGNA DMD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 805 HIGH STREET SUITE 202
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City | WESTWOOD
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State | MA
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Zip | 02090
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Country | US
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Telephone | 778-132-6193
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Fax | 781-326-6508
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Provider Business Mailing Address
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Address Line | 805 HIGH STREET SUITE 202
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City | WESTWOOD
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State | MA
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Zip | 02090
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Country | US
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Telephone | 778-132-6193
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Fax | 781-326-6508
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14832
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License Number State | MA
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