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General NPI Number Information
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NPI Number | 1730280546
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Entity Type | Organization
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Legal Business Name | PAISNER DENTAL ASSOCIATES PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 78 NORTHEASTERN BLVD SUITE 5
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City | NASHUA
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State | NH
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Zip | 03062-3791
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Country | US
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Telephone | 603-883-6546
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Fax | 603-595-1826
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Provider Business Mailing Address
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Address Line | 78 NORTHEASTERN BLVD SUITE 5
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City | NASHUA
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State | NH
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Zip | 03062-3791
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Country | US
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Telephone | 603-883-6546
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Fax | 603-595-1826
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Authorized Official
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Title or Position | GENERAL DENTIST/PRESIDENT
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Name | DR. ELIOT L PAISNER
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Credential | DMD
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Telephone | 603-883-6546
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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 | NH1504
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License Number State | NH
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