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General NPI Number Information
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NPI Number | 1306916598
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Entity Type | Organization
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Legal Business Name | PAUL A RAYMOND DDS PC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 G A R HIGHWAY
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City | SWANSEA
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State | MA
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Zip | 02777
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Country | US
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Telephone | 508-674-8818
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Fax | 508-678-7903
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Provider Business Mailing Address
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Address Line | 1010 G A R HIGHWAY
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City | SWANSEA
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State | MA
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Zip | 02777
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Country | US
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Telephone | 508-674-8818
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Fax | 508-678-7903
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL A RAYMOND
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Credential | DDS
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Telephone | 508-676-9753
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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 | 11748
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License Number State | MA
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