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General NPI Number Information
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NPI Number | 1770718207
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Entity Type | Organization
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Legal Business Name | MEDFIELD ORTHODONTIC ASSOCIATES
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 266 MAIN ST BUIDING 3, SUITE 32A
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City | MEDFIELD
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State | MA
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Zip | 02052-2043
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Country | US
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Telephone | 508-359-1989
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Fax | 508-359-1982
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Provider Business Mailing Address
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Address Line | 266 MAIN ST BUIDING 3, SUITE 32A
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City | MEDFIELD
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State | MA
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Zip | 02052-2043
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Country | US
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Telephone | 508-359-1989
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Fax | 508-359-1982
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | DR. TODD PACHELLO
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Credential |
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Telephone | 720-475-6482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20209
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License Number State | MA
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