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General NPI Number Information
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NPI Number | 1568072304
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Entity Type | Individual
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Provider Name | DR. MILANA BHASKAR
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Gender | Female
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 843 WORCESTER ST
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City | NATICK
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State | MA
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Zip | 01760-2084
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Country | US
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Telephone | 508-270-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CUMMINGS CTR STE 104M
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City | BEVERLY
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State | MA
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Zip | 01915-6105
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Country | US
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Telephone | 978-922-1824
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN1858717
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License Number State | MA
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