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General NPI Number Information
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NPI Number | 1346434545
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Entity Type | Organization
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Legal Business Name | ORTHODONTICS BY DESIGN, P.C.
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 W WATER ST SUITE 100
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City | WAKEFIELD
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State | MA
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Zip | 01880-2907
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Country | US
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Telephone | 781-245-1113
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Fax | 781-246-8441
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Provider Business Mailing Address
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Address Line | 1 W WATER ST SUITE 100
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City | WAKEFIELD
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State | MA
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Zip | 01880-2907
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Country | US
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Telephone | 781-245-1113
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Fax | 781-246-8441
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DONNA MCLAUGHLIN
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Credential |
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Telephone | 781-245-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | MA
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