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General NPI Number Information
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NPI Number | 1447786439
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Entity Type | Organization
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Legal Business Name | SARA E CURCIO DMD
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1050 SULLIVAN AVE SUITE A-2
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-2000
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Country | US
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Telephone | 860-644-2476
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Fax | 860-644-1175
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Provider Business Mailing Address
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Address Line | 1050 SULLIVAN AVE SUITE A-2
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-2000
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Country | US
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Telephone | 860-644-2476
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Fax | 860-644-1175
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Authorized Official
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Title or Position | CONSULTANT
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Name | DANIELLE CASARELLA
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Credential |
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Telephone | 860-276-1586
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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 | 9696
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License Number State | CT
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