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NPI 1881553451

NPI 1881553451 : LEOMINSTER COMMUNITY DENTAL SERVICES INC. : LEOMINSTER, MA

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General NPI Number Information
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    NPI Number           |    1881553451
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEOMINSTER COMMUNITY DENTAL SERVICES INC. 
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Dates
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    Enumeration Date     |    01/20/2026
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    69 SHARIMAR DR 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-4738
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    Country              |    US
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    Telephone            |    978-696-7726
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    69 SHARIMAR DR 
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    City                 |    LEOMINSTER
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    State                |    MA
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    Zip                  |    01453-4738
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    Country              |    US
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    Telephone            |    978-696-7726
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. ELIZABETH  NFOR 
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    Credential           |    
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    Telephone            |    978-696-7726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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