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General NPI Number Information
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NPI Number | 1730264813
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Entity Type | Individual
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Provider Name | SABITA M RAO DMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1048 UNION ST SUITE#4
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City | BANGOR
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State | ME
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Zip | 04401-8600
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Country | US
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Telephone | 207-992-2152
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Fax |
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Provider Business Mailing Address
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Address Line | 18 NICOLE CT APT 1D
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City | BANGOR
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State | ME
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Zip | 04401-3252
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Country | US
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Telephone | 781-608-7229
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22177
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License Number State | TX
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