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General NPI Number Information
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NPI Number | 1669508701
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Entity Type | Individual
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Provider Name | RALPH JOSEPH CIMON III D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29 GREEN ST
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City | CONCORD
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State | NH
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Zip | 03301-4021
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Country | US
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Telephone | 603-228-1771
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Fax | 603-228-2042
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Provider Business Mailing Address
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Address Line | 6 FIELDSTONE DR
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City | HOLLIS
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State | NH
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Zip | 03049-6564
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Country | US
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Telephone | 603-465-3080
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3442
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License Number State | NH
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