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General NPI Number Information
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NPI Number | 1467805853
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Entity Type | Individual
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Provider Name | RICHARD MARSHALL OPLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 376 COOLEY ST
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City | SPRINGFIELD
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State | MA
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Zip | 01128-1144
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Country | US
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Telephone | 413-796-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 8012 112TH STREET CT E #320
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City | PUYALLUP
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State | WA
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Zip | 98373-7856
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Country | US
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Telephone | 253-848-2331
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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 | DN1858210
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License Number State | MA
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