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General NPI Number Information
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NPI Number | 1730311093
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Entity Type | Individual
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Provider Name | HTET HTET D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/19/2009
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Last Update Date | 08/19/2009
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Provider Practice Location Address
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Address Line | 15 N BEACON ST #301
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City | ALLSTON
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State | MA
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Zip | 02134-1936
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Country | US
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Telephone | 617-987-0081
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Fax |
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Provider Business Mailing Address
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Address Line | 15 N BEACON ST #301
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City | ALLSTON
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State | MA
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Zip | 02134-1936
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Country | US
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Telephone | 617-987-0081
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 010049
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License Number State | CT
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