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General NPI Number Information
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NPI Number | 1396862082
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Entity Type | Organization
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Legal Business Name | ALPHA DENTAL OF NEW ENGLAND,P.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 39 SIMON ST #8
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-880-4700
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Fax | 603-880-4995
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Provider Business Mailing Address
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Address Line | 39 SIMON ST #8
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City | NASHUA
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State | NH
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Zip | 03060-3046
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Country | US
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Telephone | 603-880-4700
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Fax | 603-880-4995
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAILA PASHA
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Credential | D.M.D
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Telephone | 603-880-4700
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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 | 3566
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License Number State | NH
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