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General NPI Number Information
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NPI Number | 1386361764
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Entity Type | Organization
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Legal Business Name | QUALITAS DENTAL OF MASSACHUSETTS, P.C.,
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 8 PATRICIA DR
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City | SEEKONK
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State | MA
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Zip | 02771-1431
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Country | US
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Telephone | 401-263-9518
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FINANCIAL PLZ STE 2100
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City | PROVIDENCE
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State | RI
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Zip | 02903-2485
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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 | VP OF HR
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Name | SUZIE FIGUEIREDO
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Credential |
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Telephone | 401-263-9518
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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 |
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License Number State |
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