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General NPI Number Information
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NPI Number | 1548822786
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Entity Type | Organization
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Legal Business Name | SMILES ON THE CANAL DENTISTRY
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 124 FAIRPORT VILLAGE LNDG
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City | FAIRPORT
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State | NY
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Zip | 14450-1804
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Country | US
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Telephone | 585-223-5480
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Fax |
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Provider Business Mailing Address
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Address Line | 124 FAIRPORT VILLAGE LNDG
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City | FAIRPORT
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State | NY
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Zip | 14450-1804
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Country | US
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Telephone | 585-223-5480
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DAMIAN GRAYBELLE
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Credential |
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Telephone | 585-223-5480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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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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