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General NPI Number Information
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NPI Number | 1679725410
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Entity Type | Organization
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Legal Business Name | ELIS PAPARISTO FAMILY DENTISTRY P.C.
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 6 HAWTHORNE ST
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City | BELMONT
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State | MA
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Zip | 02478-1900
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Country | US
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Telephone | 617-489-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HAWTHORNE ST
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City | BELMONT
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State | MA
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Zip | 02478-1900
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Country | US
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Telephone | 617-489-1232
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIS PAPARISTO
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Credential | D.D.S.
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Telephone | 617-489-1232
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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 | 21172
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License Number State | MA
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