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General NPI Number Information
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NPI Number | 1528841996
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Entity Type | Organization
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Legal Business Name | CLOVE FAMILY DENTISTRY, INC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 33 LEXINGTON ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1446
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Country | US
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Telephone | 585-545-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 201 TRAILS END RD APT 201
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City | MANCHESTER
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State | CT
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Zip | 06042-7108
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Country | US
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Telephone | 585-545-0090
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SONAM HASIJA
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Credential | DDS
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Telephone | 585-545-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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