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General NPI Number Information
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NPI Number | 1720390222
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Entity Type | Organization
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Legal Business Name | MONICA H. CIPES DMD PC
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 798 FARMINGTON AVENUE
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City | WEST HARTFORD
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State | CT
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Zip | 06119
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Country | US
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Telephone | 860-233-1589
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Fax | 860-233-2509
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Provider Business Mailing Address
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Address Line | 798 FARMINGTON AVENUE
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City | WEST HARTFORD
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State | CT
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Zip | 06119
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Country | US
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Telephone | 860-233-1589
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Fax | 860-233-2509
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Authorized Official
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Title or Position | OWNER
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Name | DR. MONICA H CIPES
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Credential | DMD, MSD
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Telephone | 860-233-1589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5611
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License Number State | CT
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