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General NPI Number Information
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NPI Number | 1336262500
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Entity Type | Organization
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Legal Business Name | ADVANCED ROOT CANAL SPECAILISTS OF MA.,P.C.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 154 HIGH ST
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City | TAUNTON
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State | MA
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Zip | 02780-3556
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Country | US
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Telephone | 508-880-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 154 HIGH ST
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City | TAUNTON
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State | MA
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Zip | 02780-3556
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIS
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Name | ROBERT W. PASSLOFF
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Credential |
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Telephone | 508-880-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 17194
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License Number State | MA
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