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General NPI Number Information
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NPI Number | 1942429303
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Entity Type | Individual
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Provider Name | IVETA IONTCHEVA-BAREHMI DMD, MS, DSC,
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 1842 BEACON STREET SUITE 302
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City | BROOKLINE
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State | MA
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Zip | 02445-1411
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Country | US
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Telephone | 617-868-1516
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Fax | 617-730-8989
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Provider Business Mailing Address
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Address Line | 1842 BEACON STREET SUITE 301
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City | BROOKLINE
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State | MA
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Zip | 02445-1411
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Country | US
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Telephone | 617-868-1516
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Fax | 617-730-8989
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 20930
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License Number State | MA
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