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General NPI Number Information
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NPI Number | 1518362136
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Entity Type | Organization
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Legal Business Name | NEIL F DUNGCA DDS INC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 3411 W SHORE RD
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City | WARWICK
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State | RI
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Zip | 02886-7561
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Country | US
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Telephone | 401-737-7715
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Fax | 401-737-7713
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Provider Business Mailing Address
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Address Line | 3411 W SHORE RD
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-737-7715
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Fax | 401-737-7713
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEIL F DUNGCA
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Credential | DDS
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Telephone | 401-737-7715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2750
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License Number State | RI
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