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General NPI Number Information
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NPI Number | 1568621514
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Entity Type | Organization
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Legal Business Name | RYE DENTAL, PLLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 475 WASHINGTON RD
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City | RYE
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State | NH
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Zip | 03870-2459
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Country | US
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Telephone | 603-964-5060
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Fax | 603-964-6460
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Provider Business Mailing Address
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Address Line | 475 WASHINGTON RD
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City | RYE
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State | NH
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Zip | 03870-2459
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Country | US
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Telephone | 603-964-5060
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Fax | 603-964-6460
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. THERESA ADA ADAMAITIS
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Credential |
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Telephone | 603-964-5060
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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 | 3256
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License Number State | NH
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