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General NPI Number Information
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NPI Number | 1568497121
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Entity Type | Organization
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Legal Business Name | THOMAS A. WARGUSKA DMD PC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 LOOP RD
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City | MERRIMACK
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State | NH
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Zip | 03054-3658
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Country | US
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Telephone | 603-424-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 25 LOOP RD P.O. BOX 937
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City | MERRIMACK
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State | NH
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Zip | 03054-3658
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Country | US
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Telephone | 603-424-2121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS A WARGUSKA
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Credential | DMD
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Telephone | 603-424-2121
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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 | 1424
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License Number State | NH
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