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General NPI Number Information
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NPI Number | 1689277014
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Entity Type | Organization
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Legal Business Name | NASHUA DENTAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 25 RIVERSIDE ST
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City | NASHUA
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State | NH
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Zip | 03062-1379
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Country | US
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Telephone | 603-546-7460
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Fax |
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Provider Business Mailing Address
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Address Line | 25 RIVERSIDE ST
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City | NASHUA
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State | NH
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Zip | 03062-1379
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Country | US
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Telephone | 603-546-7460
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | NICHOLAS PAPAPETROS
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Credential | DMD
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Telephone | 978-886-2678
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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 |
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License Number State |
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