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General NPI Number Information
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NPI Number | 1649449794
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Entity Type | Organization
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Legal Business Name | FAMILY ORTHODONTICS, INC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 57 E MAIN ST SUITE #108
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1464
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Country | US
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Telephone | 508-366-7976
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Fax | 508-366-7876
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Provider Business Mailing Address
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Address Line | 57 E MAIN ST SUITE #108
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1464
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Country | US
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Telephone | 508-366-7976
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Fax | 508-366-7876
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Authorized Official
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Title or Position | PRESIDENT CHIEF REVENUE OFFICER
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Name | TODD PACHELLO
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Credential | DMD, MMSC
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Telephone | 720-475-6482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20209
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License Number State | MA
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