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General NPI Number Information
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NPI Number | 1942748595
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Entity Type | Organization
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Legal Business Name | NORFOLK FAMILY & PEDIATRIC DENTISTRY INC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 65 HOLBROOK ST SUITE 210
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City | NORFOLK
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State | MA
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Zip | 02056-1848
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Country | US
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Telephone | 781-806-0989
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Fax |
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Provider Business Mailing Address
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Address Line | 65 HOLBROOK ST SUITE 210
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City | NORFOLK
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State | MA
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Zip | 02056-1848
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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 | CEO
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Name | DR. MINDA R SAPIR
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Credential | DMD
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Telephone | 516-306-4738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN1856887
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License Number State | MA
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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 | DN1856886
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License Number State | MA
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