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General NPI Number Information
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NPI Number | 1750392486
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE ORTHODONTICS
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1751 MASSACHUSETTS AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02140-2218
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Country | US
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Telephone | 617-491-6800
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Fax | 617-491-4424
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Provider Business Mailing Address
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Address Line | 1751 MASSACHUSETTS AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02140-2218
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Country | US
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Telephone | 617-491-6800
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Fax | 617-491-4424
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ROBERT NICHOLAS PETROSINO
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Credential | DMD MMSC
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Telephone | 617-491-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14460
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License Number State | MA
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