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General NPI Number Information
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NPI Number | 1932685005
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Entity Type | Individual
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Provider Name | ELLE MARIE DONNELLY DMD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 04/13/2025
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Provider Practice Location Address
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Address Line | 55 WEBB PLACE SUITE 200
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City | DOVER
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State | NH
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Zip | 03820
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Country | US
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Telephone | 603-742-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 49 BIRCH HILL RD
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City | YORK
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State | ME
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Zip | 03909-5344
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Country | US
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Telephone | 410-570-7831
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 04529
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN1858037
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License Number State | MA
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