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General NPI Number Information
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NPI Number | 1861954885
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Entity Type | Organization
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Legal Business Name | COLIN B BOSWELL DDS PC
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 92 SOUTH ST
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City | CLAREMONT
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State | NH
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Zip | 03743-3180
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Country | US
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Telephone | 603-543-0455
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Fax |
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Provider Business Mailing Address
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Address Line | 92 SOUTH ST
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City | CLAREMONT
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State | NH
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Zip | 03743-3180
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. COLIN BOSWELL
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Credential | DDS
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Telephone | 641-780-7792
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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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