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General NPI Number Information
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NPI Number | 1609909084
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Entity Type | Organization
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Legal Business Name | SPINALE MOYNIHAN DMD PC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 130 MAYNARD RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-2504
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Country | US
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Telephone | 508-879-8250
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Fax | 508-626-9914
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Provider Business Mailing Address
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Address Line | 130 MAYNARD RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-2504
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Country | US
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Telephone | 508-879-8250
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Fax | 508-626-9914
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Authorized Official
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Title or Position | OPERATIONS
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Name | MR. MICHAEL ZEPF
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Credential |
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Telephone | 508-879-8250
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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 | 9690
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License Number State | MA
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