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General NPI Number Information
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NPI Number | 1770976722
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Entity Type | Organization
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Legal Business Name | BARBARA A PREUSSNER DMD, PC
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 479 WASHINGTON ST SUITE 2
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City | HOLLISTON
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State | MA
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Zip | 01746-1828
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Country | US
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Telephone | 508-429-7125
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Fax | 508-429-2018
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Provider Business Mailing Address
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Address Line | 479 WASHINGTON ST SUITE 2
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City | HOLLISTON
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State | MA
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Zip | 01746-1828
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Country | US
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Telephone | 508-429-7125
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Fax | 508-429-2018
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. BARBARA PREUSSNER
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Credential | DMD
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Telephone | 508-429-7125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 17180
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License Number State | MA
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