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General NPI Number Information
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NPI Number | 1932428026
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Entity Type | Organization
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Legal Business Name | LEPINE DENTISTRY, LLC.
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 1010 GAR HWY
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City | SWANSEA
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State | MA
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Zip | 02777-4566
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Country | US
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Telephone | 508-916-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 20 COMMERCE WAY UNIT 12, PMB 293
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City | SEEKONK
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State | MA
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Zip | 02771-5823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. GUILLAUME LEPINE
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Credential | D.M.D.
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Telephone | 508-916-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN21008
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License Number State | MA
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