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General NPI Number Information
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NPI Number | 1841843646
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Entity Type | Organization
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Legal Business Name | GARRETT ORAZEM, DMD
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Dates
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Enumeration Date | 07/20/2019
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Last Update Date | 07/20/2019
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Provider Practice Location Address
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Address Line | 31 BEACH RD UNIT A202
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568
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Country | US
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Telephone | 508-693-1951
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Fax | 508-693-1994
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Provider Business Mailing Address
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Address Line | PO BOX 4784
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568
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Country | US
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Telephone | 508-693-1951
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Fax | 508-693-1994
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDMUND GARRETT ORAZEM
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Credential | D.M.D.
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Telephone | 508-693-1951
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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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