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General NPI Number Information
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NPI Number | 1821597022
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Entity Type | Individual
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Provider Name | PAUL DYRKACZ DMD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 40 JACKSON ST
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City | METHUEN
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State | MA
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Zip | 01844-5000
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Country | US
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Telephone | 978-874-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 87 WALFORD LN
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4765
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Country | US
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Telephone | 860-593-9197
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 04719
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN1859501
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License Number State | MA
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