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General NPI Number Information
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NPI Number | 1851919989
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Entity Type | Organization
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Legal Business Name | LAVOIE & ASSOCIATES
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | 31 KING CHARLES DR STE D
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City | PORTSMOUTH
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State | RI
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Zip | 02871-1448
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Country | US
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Telephone | 508-233-3341
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Fax | 508-286-8600
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Provider Business Mailing Address
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Address Line | 31 KING CHARLES DR STE D
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City | PORTSMOUTH
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State | RI
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Zip | 02871-1448
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Country | US
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Telephone | 508-233-3341
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Fax | 508-286-8600
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS LAVOIE
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Credential | DDS
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Telephone | 774-991-1418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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