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General NPI Number Information
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NPI Number | 1386852507
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Entity Type | Organization
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Legal Business Name | ANTHONY M. STORACE, DMD, PLLC
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 20 MERRIT PKWY
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City | NASHUA
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State | NH
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Zip | 03062-3029
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Country | US
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Telephone | 603-880-3496
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Fax |
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Provider Business Mailing Address
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Address Line | 20 MERRIT PARKWAY
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City | NASHUA
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State | NH
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Zip | 03062-3029
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Country | US
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Telephone | 603-880-3496
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY M STORACE
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Credential | DMD, MAGD
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Telephone | 603-880-3496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1646
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License Number State | NH
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