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General NPI Number Information
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NPI Number | 1700283074
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Entity Type | Organization
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Legal Business Name | STERLING DENTAL GROUP P.C.
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 2 BEVERLY DR
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City | STERLING
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State | MA
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Zip | 01564-2150
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Country | US
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Telephone | 978-422-6152
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BEVERLY DR
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City | STERLING
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State | MA
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Zip | 01564-2150
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Country | US
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Telephone | 978-422-6152
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOSIE S SANTOS
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Credential |
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Telephone | 508-832-5731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12677
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State | MA
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