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General NPI Number Information
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NPI Number | 1801029277
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Entity Type | Organization
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Legal Business Name | SEACOAST ORTHODONTICS
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 45 LAFAYETTE RD SUITE 14
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2451
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Country | US
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Telephone | 603-964-2220
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Fax | 603-964-2244
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Provider Business Mailing Address
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Address Line | 45 LAFAYETTE RD SUITE 14
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2451
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Country | US
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Telephone | 603-964-2220
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Fax | 603-964-2244
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | TIMOTHY FINELLI
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Credential | DDS
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Telephone | 603-964-2220
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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 | 03640
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License Number State | NH
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