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General NPI Number Information
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NPI Number | 1558386425
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Entity Type | Organization
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Legal Business Name | DRS. OSOFSKY D.D.S. & SABATELLE, JR. D.M.D
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 1 COURT STREET SUITE 270
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City | LEBANON
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State | NH
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Zip | 03766
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Country | US
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Telephone | 603-448-1830
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Fax | 603-448-1826
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Provider Business Mailing Address
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Address Line | 1 COURT STREET SUITE 270
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City | LEBANON
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State | NH
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Zip | 03766
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Country | US
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Telephone | 603-448-1830
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Fax | 603-448-1826
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Authorized Official
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Title or Position | PRESIDEN
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Name | DR. ROBERT C. SABATELLE JR.
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Credential | DMD
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Telephone | 603-448-1830
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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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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2556
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License Number State | NH
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