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General NPI Number Information
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NPI Number | 1508073552
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Entity Type | Organization
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Legal Business Name | MARIANE BAFILE, DMD, PLLC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 510 KREAG RD
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City | PITTSFORD
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State | NY
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Zip | 14534-3706
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Country | US
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Telephone | 585-381-7540
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Fax |
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Provider Business Mailing Address
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Address Line | 510 KREAG RD
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City | PITTSFORD
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State | NY
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Zip | 14534-3706
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Country | US
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Telephone | 585-381-7540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIANE BAFILE
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Credential |
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Telephone | 585-381-7540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 40034
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License Number State | NY
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