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General NPI Number Information
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NPI Number | 1932247988
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Entity Type | Organization
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Legal Business Name | SOFTTOUCH DENTISTRY
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 130 WALNUT ST
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City | NEWTONVILLE
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State | MA
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Zip | 02460-1627
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Country | US
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Telephone | 617-332-8146
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Fax | 617-332-6251
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Provider Business Mailing Address
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Address Line | 130 WALNUT ST
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City | NEWTONVILLE
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State | MA
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Zip | 02460-1627
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Country | US
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Telephone | 617-332-8146
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Fax | 617-332-6251
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NAZILA A BIDABADI
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Credential | DMD
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Telephone | 617-332-8146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17027
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License Number State | MA
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