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General NPI Number Information
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NPI Number | 1851464945
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Entity Type | Organization
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Legal Business Name | FRAMINGHAM ORAL AND MAXILLOFACIAL SURGERY PC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 29 LINCOLN ST.
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-879-1300
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Fax | 508-879-1388
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Provider Business Mailing Address
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Address Line | 29 LINCOLN ST.
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-879-1300
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Fax | 508-879-1388
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Authorized Official
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Title or Position | PRESIDENT/SURGEON
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Name | DR. DAVID M EMANUEL
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Credential | DMD, MD
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Telephone | 508-879-1300
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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 |
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License Number State | MA
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