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General NPI Number Information
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NPI Number | 1750746392
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Entity Type | Organization
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Legal Business Name | OXFORD DENTAL LLC
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 855 W CENTRAL ST
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City | FRANKLIN
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State | MA
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Zip | 02038-3118
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Country | US
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Telephone | 508-520-2333
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Fax | 508-440-5622
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Provider Business Mailing Address
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Address Line | 855 W CENTRAL ST
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City | FRANKLIN
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State | MA
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Zip | 02038-3118
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Country | US
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Telephone | 508-520-2333
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Fax | 508-440-5622
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Authorized Official
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Title or Position | DENTIST
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Name | RASHID A NOOR
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Credential | D.M.D
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Telephone | 508-695-1903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18506
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License Number State | MA
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