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General NPI Number Information
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NPI Number | 1578428850
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Entity Type | Organization
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Legal Business Name | HAMPSHIRE MEADOW ORTHODONTICS
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 207 RUSSELL ST STE 18
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City | HADLEY
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State | MA
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Zip | 01035-5907
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Country | US
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Telephone | 413-387-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 207 RUSSELL ST STE 18
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City | HADLEY
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State | MA
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Zip | 01035-5907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CYRUS SAFIZADEH
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Credential | DMD
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Telephone | 413-387-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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