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General NPI Number Information
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NPI Number | 1326340910
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Entity Type | Organization
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Legal Business Name | TOC MANAGEMENT LLC
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 257 TURNPIKE RD SUITE 330
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City | SOUTHBOROUGH
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State | MA
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Zip | 01772-1791
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Country | US
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Telephone | 508-281-6464
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Fax | 508-281-6677
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Provider Business Mailing Address
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Address Line | 257 TURNPIKE RD SUITE 330
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City | SOUTHBOROUGH
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State | MA
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Zip | 01772-1791
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Country | US
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Telephone | 508-281-6464
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Fax | 508-281-6677
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Authorized Official
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Title or Position | VICE- PRESIDENT
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Name | MR. GOKULAN THIAGARAJAH
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Credential |
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Telephone | 508-962-2332
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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 | 18683
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License Number State | MA
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