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General NPI Number Information
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NPI Number | 1457685349
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Entity Type | Organization
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Legal Business Name | DENTAL ASSOCIATES OF CUMBERLAND, LLC
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 490 HIGH ST
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City | CUMBERLAND
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State | RI
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Zip | 02864-7644
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Country | US
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Telephone | 401-723-0350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7125
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City | CUMBERLAND
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State | RI
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Zip | 02864-0893
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Country | US
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Telephone | 401-723-0350
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | DR. ANGELES V. FELIX
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Credential | D.M.D.
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Telephone | 401-723-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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