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General NPI Number Information
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NPI Number | 1578833083
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Entity Type | Organization
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Legal Business Name | LAMPREY FAMILY DENTAL LLC
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Dates
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Enumeration Date | 01/01/2012
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Last Update Date | 01/01/2012
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Provider Practice Location Address
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Address Line | 37 EPPING ST
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City | RAYMOND
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State | NH
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Zip | 03077-2524
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Country | US
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Telephone | 603-895-3161
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Fax |
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Provider Business Mailing Address
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Address Line | 37 EPPING ST
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City | RAYMOND
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State | NH
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Zip | 03077-2524
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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 | DENTIST
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Name | DR. NANARAO KROTHAPALLI
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Credential | DMD
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Telephone | 603-895-3161
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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 | 3380
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License Number State | NH
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