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General NPI Number Information
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NPI Number | 1528812575
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Entity Type | Organization
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Legal Business Name | GALIAZZO DENTISTRY LLC
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 209 HARVARD ST STE 501
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City | BROOKLINE
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State | MA
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Zip | 02446-5005
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Country | US
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Telephone | 857-285-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 15 NASON LN
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City | FOXBORO
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State | MA
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Zip | 02035-5202
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Country | US
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Telephone | 857-285-8101
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LAURA GALIAZZO
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Credential | DMD
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Telephone | 857-285-8101
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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 |
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License Number State |
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