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General NPI Number Information
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NPI Number | 1568057362
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Entity Type | Organization
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Legal Business Name | TOWN HALL DENTAL SPA
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 107 TOWN HALL SQ
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City | FALMOUTH
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State | MA
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Zip | 02540-2783
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Country | US
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Telephone | 508-548-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 107 TOWN HALL SQ
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City | FALMOUTH
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State | MA
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Zip | 02540-2783
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Country | US
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Telephone | 508-548-2442
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN MEJEUR
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Credential |
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Telephone | 774-238-0426
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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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