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General NPI Number Information
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NPI Number | 1669666947
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Entity Type | Organization
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Legal Business Name | JOHN DMOCHOWSKI, MD PC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 31 MELTIAH RD
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City | FALMOUTH
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State | MA
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Zip | 02540-1843
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Country | US
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Telephone | 508-548-8626
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Fax | 508-548-0260
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Provider Business Mailing Address
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Address Line | 31 MELTIAH RD
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City | FALMOUTH
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State | MA
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Zip | 02540-1843
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Country | US
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Telephone | 508-548-8626
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Fax | 508-548-0260
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN F DMOCHOWSKI
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Credential | MD PC
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Telephone | 508-548-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 39343
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License Number State | MA
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