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General NPI Number Information
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NPI Number | 1790915510
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Entity Type | Individual
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Provider Name | NOREEN A ORINDA DMD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 230 MAPLE ST
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City | HOLYOKE
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State | MA
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Zip | 01040-5144
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Country | US
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Telephone | 413-420-6252
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Fax |
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Provider Business Mailing Address
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Address Line | ONE SPRINGFIELD STREET APT 102
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City | CHICOPEE
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State | MA
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Zip | 01013-2672
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Country | US
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Telephone | 914-882-5331
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1855195
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License Number State | MA
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