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General NPI Number Information
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NPI Number | 1841717741
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Entity Type | Organization
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Legal Business Name | SHERINE RABBAT DDS, LLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 400 WASHINGTON ST STE 103
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City | BRAINTREE
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State | MA
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Zip | 02184-4764
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Country | US
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Telephone | 781-843-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 400 WASHINGTON ST STE 103
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City | BRAINTREE
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State | MA
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Zip | 02184-4764
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Country | US
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Telephone | 781-843-0881
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHERINE RABBAT
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Credential | DDS
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Telephone | 617-519-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21535
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License Number State | MA
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