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General NPI Number Information
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NPI Number | 1730559550
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Entity Type | Organization
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Legal Business Name | THOMAS C. FARRUGIA, DDS, PLLC
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 219 WASHINGTON AVE
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City | BATAVIA
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State | NY
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Zip | 14020-2226
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Country | US
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Telephone | 585-343-7028
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Fax | 585-343-9124
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Provider Business Mailing Address
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Address Line | 219 WASHINGTON AVE
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City | BATAVIA
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State | NY
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Zip | 14020-2226
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Country | US
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Telephone | 585-343-7028
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Fax | 585-343-9124
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS C FARRUGIA
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Credential | DDS
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Telephone | 585-343-7028
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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 | 50055664
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License Number State | NY
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