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General NPI Number Information
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NPI Number | 1629089651
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Entity Type | Individual
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Provider Name | MONICA H CIPES DMD MSP PC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 798 FARMINGTON AVENUE
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City | WEST HARTFORD
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State | CT
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Zip | 06119
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Country | US
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Telephone | 860-233-1589
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Fax | 860-233-2509
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Provider Business Mailing Address
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Address Line | 798 FARMINGTON AVENUE
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City | WEST HARTFORD
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State | CT
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Zip | 06119
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Country | US
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Telephone | 860-233-1589
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Fax | 860-233-2509
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 005611
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5611
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License Number State | CT
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