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NPI 1821396813

NPI 1821396813 : BRITE SMILES OF RI : WOONSOCKET, RI

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General NPI Number Information
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    NPI Number           |    1821396813
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRITE SMILES OF RI 
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Dates
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    Enumeration Date     |    03/01/2011
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    Last Update Date     |    03/01/2011
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Provider Practice Location Address
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    Address Line         |    20 CUMBERLAND HILL RD SUITE # 205
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    City                 |    WOONSOCKET
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    State                |    RI
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    Zip                  |    02895-4854
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    Country              |    US
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    Telephone            |    401-766-7980
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    Fax                  |    401-766-1599
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Provider Business Mailing Address
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    Address Line         |    20 CUMBERLAND HILL RD SUITE # 205
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    City                 |    WOONSOCKET
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    State                |    RI
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    Zip                  |    02895-4854
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    Country              |    US
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    Telephone            |    401-766-7980
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    Fax                  |    401-766-1599
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Authorized Official
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    Title or Position    |    DENTIST/ OWNER
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    Name                 |     MAHA G. ALAMAD 
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    Credential           |    D.M.D.
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    Telephone            |    508-439-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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