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General NPI Number Information
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NPI Number | 1699927343
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Entity Type | Organization
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Legal Business Name | PAUL J & JOHN P CACECI PTRS
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 30 BRIDGE ST SUITE 303
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City | NEW MILFORD
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State | CT
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Zip | 06776-3517
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Country | US
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Telephone | 860-354-9600
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Fax | 860-355-4072
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Provider Business Mailing Address
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Address Line | 30 BRIDGE ST SUITE 303
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City | NEW MILFORD
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State | CT
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Zip | 06776-3517
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Country | US
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Telephone | 860-354-9600
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Fax | 860-355-4072
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | GEORGETTE R MEGYERI
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Credential |
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Telephone | 860-354-9600
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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 | 005028
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License Number State | CT
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