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General NPI Number Information
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NPI Number | 1871888495
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Entity Type | Organization
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Legal Business Name | ASHBURNHAM DENTAL ARTS, P.C
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Dates
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Enumeration Date | 06/11/2011
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Last Update Date | 06/11/2011
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Provider Practice Location Address
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Address Line | 61 MAIN ST
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City | ASHBURNHAM
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State | MA
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Zip | 01430-1247
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Country | US
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Telephone | 978-827-3115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 906
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City | ASHBURNHAM
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State | MA
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Zip | 01430-0906
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Country | US
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Telephone | 978-827-3115
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Fax |
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Authorized Official
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Title or Position | DMD
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Name | DR. NEERAJA NARAYANAN
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Credential |
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Telephone | 978-827-3115
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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 | DN20550
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License Number State | MA
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