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General NPI Number Information
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NPI Number | 1801091137
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Entity Type | Organization
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Legal Business Name | DRS. WARD AND VAUDRY
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 132 OLD RIVER RD SUITE 204
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City | LINCOLN
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State | RI
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Zip | 02865-1161
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Country | US
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Telephone | 401-333-1554
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Fax |
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Provider Business Mailing Address
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Address Line | 132 OLD RIVER RD SUITE 204
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City | LINCOLN
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State | RI
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Zip | 02865-1161
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Country | US
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Telephone | 401-333-1554
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. LYNNE WARD
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Credential | DDS
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Telephone | 401-333-1554
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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 |
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License Number State |
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