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General NPI Number Information
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NPI Number | 1922447879
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Entity Type | Individual
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Provider Name | SARAH ANNE GREENLAW-QUINTON DMD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 161 JACKSON STREET DENTAL DEPARTMENT - 2ND FLOOR
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City | LOWELL
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State | MA
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Zip | 01852
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Country | US
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Telephone | 978-221-6850
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Fax | 978-221-6207
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Provider Business Mailing Address
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Address Line | 161 JACKSON STREET 2ND FLOOR - DENTAL DEPARTMENT
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City | LOWELL
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State | MA
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Zip | 01852
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Country | US
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Telephone | 978-221-6850
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Fax | 782-216-2079
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DL11872
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1856435
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License Number State | MA
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