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General NPI Number Information
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NPI Number | 1770675951
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Entity Type | Individual
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Provider Name | EDWARD JUOZOKAS DDS
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 115 ELM ST SUITE 209
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City | ENFIELD
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State | CT
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Zip | 06082-3712
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Country | US
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Telephone | 860-741-2277
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Fax | 860-253-0170
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Provider Business Mailing Address
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Address Line | 115 ELM ST SUITE 209
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City | ENFIELD
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State | CT
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Zip | 06082-3712
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Country | US
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Telephone | 860-741-2277
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Fax | 860-253-0170
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 005401
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License Number State | CT
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