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General NPI Number Information
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NPI Number | 1750629473
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND DENTURE CENTER OF BIDDEFORD, LLC
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 291 ALFRED ST
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City | BIDDEFORD
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State | ME
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Zip | 04005-3155
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Country | US
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Telephone | 207-286-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 291 ALFRED ST
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City | BIDDEFORD
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State | ME
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Zip | 04005-3155
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Country | US
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Telephone | 207-286-9500
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Fax |
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Authorized Official
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Title or Position | DENTURIST
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Name | BEATRICE R TOKAYER
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Credential | LD
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Telephone | 207-286-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | 5519
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License Number State | ME
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