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General NPI Number Information
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NPI Number | 1932565884
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Entity Type | Organization
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Legal Business Name | JULIE C DAMBLY DMD PC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 4 ALBERT ST
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City | AUBURN
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State | MA
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Zip | 01501-1304
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Country | US
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Telephone | 505-832-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ALBERT ST
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City | AUBURN
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State | MA
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Zip | 01501-1304
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Country | US
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Telephone | 505-832-4141
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULIE C DAMBLY
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Credential | DMD
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Telephone | 508-832-4141
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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 | DN21082
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License Number State | MA
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