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General NPI Number Information
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NPI Number | 1700119260
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Entity Type | Individual
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Provider Name | SOPHIA LALANI DMD, B.ENG
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Gender | Female
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 100 E NEWTON ST G202
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City | BOSTON
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State | MA
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Zip | 02118-2308
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Country | US
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Telephone | 857-891-1606
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Fax |
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Provider Business Mailing Address
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Address Line | 761 HARRISON AVE APT.306
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City | BOSTON
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State | MA
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Zip | 02118-2364
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Country | US
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Telephone | 857-891-1606
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1855262
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License Number State | MA
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