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General NPI Number Information
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NPI Number | 1578456844
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Entity Type | Organization
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Legal Business Name | NOGUEIRA DENTAL LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 21 KING CHARLES DR
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City | PORTSMOUTH
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State | RI
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Zip | 02871-1447
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Country | US
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Telephone | 413-454-1244
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Fax | 413-454-1244
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Provider Business Mailing Address
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Address Line | 21 KING CHARLES DR
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City | PORTSMOUTH
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State | RI
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Zip | 02871-1447
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Country | US
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Telephone | 413-454-1244
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Fax | 413-454-1244
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Authorized Official
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Title or Position | OWNER AND DENTIST
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Name | DR. LENA NOGUEIRA
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Credential | DMD
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Telephone | 413-454-1244
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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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