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General NPI Number Information
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NPI Number | 1609322452
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Entity Type | Organization
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Legal Business Name | LOWELL ORAL SURGERY ASSOCIATES, INC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 26 NORTH RD 2ND FLOOR
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City | CHELMSFORD
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State | MA
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Zip | 01824-2722
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Country | US
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Telephone | 978-328-0432
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Fax |
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Provider Business Mailing Address
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Address Line | 26 NORTH RD 2ND FLOOR
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City | CHELMSFORD
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State | MA
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Zip | 01824-2722
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Country | US
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Telephone | 978-328-0432
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PATRICIA L YOUNG
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Credential | MBA, FACMPE
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Telephone | 978-458-1264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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