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NPI 1871456525

NPI 1871456525 : SOUNDVIEW FAMILY DENTISTRY LLC : CLINTON, CT

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General NPI Number Information
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    NPI Number           |    1871456525
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUNDVIEW FAMILY DENTISTRY LLC 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    149 E MAIN ST STE 4 
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    City                 |    CLINTON
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    State                |    CT
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    Zip                  |    06413-2103
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    Country              |    US
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    Telephone            |    860-669-5756
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    149 E MAIN ST STE 4 
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    City                 |    CLINTON
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    State                |    CT
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    Zip                  |    06413-2103
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    Country              |    US
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    Telephone            |    860-669-5756
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |     KENAN  TAWEEL 
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    Credential           |    DMD
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    Telephone            |    203-467-3333
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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       |    
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    License Number State |    
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