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General NPI Number Information
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NPI Number | 1285848010
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER J MAGIERA DMD PC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 200 SILVER ST SUITE 205
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City | AGAWAM
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State | MA
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Zip | 01001-2916
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Country | US
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Telephone | 413-786-0171
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Fax | 413-786-2368
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Provider Business Mailing Address
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Address Line | 200 SILVER ST SUITE 205
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City | AGAWAM
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State | MA
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Zip | 01001-2916
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Country | US
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Telephone | 413-786-0171
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Fax | 413-786-2368
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER J MAGIERA
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Credential | DMD
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Telephone | 413-786-0171
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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 | 18973
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License Number State | MA
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