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General NPI Number Information
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NPI Number | 1790338473
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Entity Type | Individual
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Provider Name | DR. PRAJAKTA JOSHI
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Gender | Female
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 100 MACY ST # B2
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City | AMESBURY
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State | MA
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Zip | 01913-4315
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Country | US
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Telephone | 978-893-3988
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Fax | 978-893-3989
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Provider Business Mailing Address
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Address Line | 115 NORTHAMPTON ST APT 3B
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City | BOSTON
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State | MA
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Zip | 02118-1873
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Country | US
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Telephone | 857-452-0191
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859613
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License Number State | MA
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