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NPI 1851535348

NPI 1851535348 : JANET B LANDRY DDS : SEYMOUR, CT

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General NPI Number Information
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    NPI Number           |    1851535348
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    Entity Type          |    Individual 
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    Provider Name        |    JANET B LANDRY DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2009
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    Last Update Date     |    04/28/2009
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Provider Practice Location Address
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    Address Line         |    134 NEW HAVEN RD 
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    City                 |    SEYMOUR
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    State                |    CT
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    Zip                  |    06483-3908
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    Country              |    US
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    Telephone            |    203-888-9947
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    Fax                  |    203-881-0805
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Provider Business Mailing Address
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    Address Line         |    134 NEW HAVEN RD 
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    City                 |    SEYMOUR
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    State                |    CT
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    Zip                  |    06483-3908
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    Country              |    US
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    Telephone            |    203-888-9947
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    Fax                  |    203-881-0805
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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       |    007923
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    License Number State |    CT
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