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General NPI Number Information
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NPI Number | 1801047360
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Entity Type | Individual
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Provider Name | AMBARISH WALVEKAR BDS, MSD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 338 MONTAGUE CITY RD
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City | TURNERS FALLS
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State | MA
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Zip | 01376-1830
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Country | US
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Telephone | 413-774-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 338 MONTAGUE CITY RD
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City | TURNERS FALLS
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State | MA
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Zip | 01376-1830
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Country | US
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Telephone | 413-774-2615
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 10420
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DL12044
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License Number State | MA
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