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General NPI Number Information
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NPI Number | 1801228259
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Entity Type | Organization
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Legal Business Name | WILLIAM C. HEGGERICK, DDS & ASSOCIATES, INC
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 56 COLPITTS RD
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City | WESTON
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State | MA
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Zip | 02493-1568
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Country | US
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Telephone | 781-894-0347
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Fax | 781-894-0835
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Provider Business Mailing Address
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Address Line | 56 COLPITTS RD
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City | WESTON
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State | MA
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Zip | 02493-1568
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Country | US
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Telephone | 781-894-0347
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Fax | 781-894-0835
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM C. HEGGERICK
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Credential | DDS
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Telephone | 781-894-0347
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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 | 11517
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License Number State | MA
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