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General NPI Number Information
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NPI Number | 1730484924
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Entity Type | Organization
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Legal Business Name | DOLCE DENTAL, PC
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 100 WENDELL AVE
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City | PITTSFIELD
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State | MA
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Zip | 01201-7065
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Country | US
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Telephone | 413-442-6643
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Fax | 413-442-8126
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Provider Business Mailing Address
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Address Line | 100 WENDELL AVE
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City | PITTSFIELD
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State | MA
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Zip | 01201-7065
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Country | US
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Telephone | 413-442-6643
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Fax | 413-442-8126
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NIECA J FAGGIOLI
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Credential | DMD
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Telephone | 413-442-6643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21766
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License Number State | MA
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