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General NPI Number Information
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NPI Number | 1730102138
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Entity Type | Organization
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Legal Business Name | HAMPDEN FAMILY DENTISTRY, P.A.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27 WESTERN AVE
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City | HAMPDEN
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State | ME
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Zip | 04444-1422
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Country | US
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Telephone | 207-862-2600
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Fax | 207-862-2602
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Provider Business Mailing Address
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Address Line | 27 WESTERN AVE
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City | HAMPDEN
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State | ME
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Zip | 04444-1422
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Country | US
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Telephone | 207-862-2600
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Fax | 207-862-2602
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Authorized Official
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Title or Position | TREASURER
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Name | DR. RANDALL PETER CUTRI
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Credential | D.M.D.
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Telephone | 207-862-2600
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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 |
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License Number State | ME
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