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General NPI Number Information
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NPI Number | 1346053790
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Entity Type | Individual
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Provider Name | CLAUDIA MINAMI KUSSANO LOPES DMD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 22 ALPINE LN
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City | CHELMSFORD
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State | MA
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Zip | 01824-2774
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Country | US
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Telephone | 978-256-7581
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Fax |
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Provider Business Mailing Address
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Address Line | 22 ALPINE LN
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City | CHELMSFORD
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State | MA
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Zip | 01824-2774
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Country | US
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Telephone | 978-256-7581
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 10001095
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10001095
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License Number State | MA
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