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General NPI Number Information
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NPI Number | 1427759091
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Entity Type | Individual
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Provider Name | DAVID DESALVO DDS
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Gender | Male
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 107 MAIN ST
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City | PLYMOUTH
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State | NH
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Zip | 03264-1522
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Country | US
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Telephone | 603-536-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 415 JAMESTOWN RD
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City | BELMONT
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State | NH
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Zip | 03220-4326
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 04763
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License Number State | NH
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