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General NPI Number Information
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NPI Number | 1518129303
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Entity Type | Individual
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Provider Name | ALBERTO E SARMIENTO
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Gender | Male
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 1 KNEELAND ST SUITE 206
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City | BOSTON
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State | MA
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Zip | 02111
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Country | US
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Telephone | 617-636-3481
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Fax |
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Provider Business Mailing Address
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Address Line | 156 PORTER ST APT 340
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City | BOSTON
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State | MA
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Zip | 02128-2144
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Country | US
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Telephone | 857-891-8161
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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 | DN1856974
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License Number State | MA
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