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General NPI Number Information
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NPI Number | 1306156229
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Entity Type | Organization
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Legal Business Name | WILLIAM G. PAPPAS, D.M.D, PC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 893 SOUTH ST
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City | ROSLINDALE
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State | MA
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Zip | 02131-2411
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Country | US
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Telephone | 617-323-3443
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Fax | 617-323-3350
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Provider Business Mailing Address
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Address Line | 893 SOUTH ST
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City | ROSLINDALE
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State | MA
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Zip | 02131-2411
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Country | US
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Telephone | 617-323-3443
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Fax | 617-323-3350
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Authorized Official
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Title or Position | FINANCIAL CORDINATOR
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Name | YASHIRA BORRERO
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Credential |
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Telephone | 617-323-3443
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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 | 11648
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License Number State | MA
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