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General NPI Number Information
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NPI Number | 1538326186
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Entity Type | Organization
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Legal Business Name | DANIEL J BLEY DDS PC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 2 CENTER PLZ STE M100
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City | BOSTON
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State | MA
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Zip | 02108-1909
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Country | US
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Telephone | 617-227-8536
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Fax | 617-227-7254
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Provider Business Mailing Address
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Address Line | 2 CENTER PLZ STE M100
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City | BOSTON
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State | MA
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Zip | 02108-1909
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Country | US
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Telephone | 617-227-8536
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Fax | 617-227-7254
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL J BLEY
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Credential | D.D.S.
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Telephone | 617-227-8536
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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 | 19196
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License Number State | MA
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