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General NPI Number Information
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NPI Number | 1750878328
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Entity Type | Organization
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Legal Business Name | FRAMINGHAM FAMILY & COSMETIC DENTISTRY, LLC
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 164 N MAIN ST
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City | NATICK
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State | MA
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Zip | 01760-2738
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Country | US
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Telephone | 508-653-6263
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Fax |
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Provider Business Mailing Address
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Address Line | 164 N MAIN ST
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City | NATICK
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State | MA
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Zip | 01760-2738
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Country | US
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Telephone | 508-653-6263
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ERIN RICHARD
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Credential |
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Telephone | 508-653-6263
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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 |
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License Number State | MA
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