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General NPI Number Information
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NPI Number | 1336424951
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Entity Type | Individual
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Provider Name | SVETLANA KONFINO D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 287 WESTERN AVE
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City | ALLSTON
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State | MA
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Zip | 02134-1010
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Country | US
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Telephone | 781-864-3275
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Fax |
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Provider Business Mailing Address
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Address Line | 32 BRYON RD APT 4
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3336
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Country | US
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Telephone | 781-864-3275
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN1855727
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License Number State | MA
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