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General NPI Number Information
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NPI Number | 1811672942
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Entity Type | Organization
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Legal Business Name | LINCOLN DENTAL CARE LLC
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 95 WALKER ST
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City | LINCOLN
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State | RI
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Zip | 02865-2518
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Country | US
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Telephone | 401-723-1750
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Fax | 401-726-8660
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Provider Business Mailing Address
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Address Line | 95 WALKER ST
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City | LINCOLN
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State | RI
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Zip | 02865-2518
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Country | US
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Telephone | 401-723-1750
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Fax | 401-726-8660
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Authorized Official
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Title or Position | OFFICER MANAGER
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Name | MISS ZORAYA MARZAN
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Credential |
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Telephone | 401-724-2570
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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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