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General NPI Number Information
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NPI Number | 1821499922
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Entity Type | Individual
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Provider Name | MARCO AMER DMD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 801 ELM ST
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City | MANCHESTER
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State | NH
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Zip | 03101-2103
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Country | US
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Telephone | 603-623-7800
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Fax | 603-935-9685
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Provider Business Mailing Address
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Address Line | 76 PULPIT RD
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City | BEDFORD
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State | NH
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Zip | 03110-4220
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Country | US
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Telephone | 631-560-7834
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1856737
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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 | 04150
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License Number State | NH
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