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General NPI Number Information
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NPI Number | 1619069663
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Entity Type | Organization
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Legal Business Name | FRANCIS J. CUSUMANO D.D.S., P.A.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 103 PARKWAY OFFICE CT SUITE 200
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City | CARY
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State | NC
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Zip | 27518-7428
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Country | US
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Telephone | 919-661-1995
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Fax | 919-661-8619
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Provider Business Mailing Address
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Address Line | 2054 KILDAIRE FARM RD # 425
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City | CARY
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State | NC
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Zip | 27518-6614
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Country | US
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Telephone | 919-661-1995
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Fax | 919-861-9718
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCIS JOSEPH CUSUMANO
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Credential | D.D.S.
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Telephone | 919-819-4288
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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 | 7936
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License Number State | NC
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