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General NPI Number Information
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NPI Number | 1528153970
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Entity Type | Individual
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Provider Name | BARBARA MANCINI CAVICCHIO D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1492 MINERAL SPRING AVENUE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3130
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Country | US
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Telephone | 401-353-4880
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Fax | 401-353-1592
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Provider Business Mailing Address
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Address Line | 1492 MINERAL SPRING AVENUE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3130
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Country | US
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Telephone | 401-353-4880
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Fax | 401-353-1592
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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 | RI2017
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License Number State | RI
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