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General NPI Number Information
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NPI Number | 1356471932
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Entity Type | Individual
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Provider Name | ROBERT W PASSLOFF DMD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 154 HIGH STREET
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City | TAUNTON
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State | MA
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Zip | 02780
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Country | US
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Telephone | 508-880-0801
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Fax | 508-880-9180
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Provider Business Mailing Address
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Address Line | 154 HIGH STREET
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City | TAUNTON
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State | MA
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Zip | 02780
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Country | US
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Telephone | 508-880-0801
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Fax | 508-880-9180
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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 | 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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