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General NPI Number Information
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NPI Number | 1477747285
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Entity Type | Individual
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Provider Name | RICHARD CAMERON BOLDUC D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 7 RAYMOND RD.
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City | AUBURN
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State | NH
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Zip | 03032
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Country | US
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Telephone | 603-483-8123
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Fax | 603-483-8127
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Provider Business Mailing Address
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Address Line | PO BOX 425 7 RAYMOND RD.
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City | AUBURN
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State | NH
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Zip | 03032-0425
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Country | US
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Telephone | 603-483-8123
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Fax | 603-483-8127
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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 | 03602
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License Number State | NH
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