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General NPI Number Information
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NPI Number | 1720510977
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Entity Type | Organization
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Legal Business Name | ZEN DEN MEDICAL INC.
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 392 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-2008
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Country | US
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Telephone | 781-424-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 392 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-2008
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Country | US
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Telephone | 781-424-0488
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAWNA LYNN JONES
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Credential | MD
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Telephone | 781-424-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 56610
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License Number State | MA
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