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General NPI Number Information
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NPI Number | 1760413264
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Entity Type | Organization
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Legal Business Name | DILLAWAY FAMILY DENTISTRY, P.C.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 COLPITTS RD
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City | WESTON
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State | MA
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Zip | 02493-1534
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Country | US
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Telephone | 781-899-5084
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Fax | 781-642-0609
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Provider Business Mailing Address
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Address Line | PO BOX 181
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City | WESTON
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State | MA
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Zip | 02493-0001
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Country | US
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Telephone | 781-899-1181
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Fax | 781-642-0609
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Authorized Official
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Title or Position | CLERK
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Name | BARBARA A. DILLAWAY
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Credential |
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Telephone | 781-899-1181
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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 |
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License Number State |
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