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General NPI Number Information
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NPI Number | 1851816714
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Entity Type | Organization
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Legal Business Name | IONA DENTAL, P.C. (PARENT ORGANIZATION)
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 1650 MAIN STREET
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City | SOUTH WEYMOUTH
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State | MA
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Zip | 02190
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Country | US
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Telephone | 781-206-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 MAIN STREET
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City | SOUTH WEYMOUTH
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State | MA
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Zip | 02190
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Country | US
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Telephone | 781-206-2660
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HANS A. LANGARA
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Credential | D.M.D., M.S.D.
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Telephone | 781-206-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN20111
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License Number State | MA
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