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General NPI Number Information
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NPI Number | 1942766316
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Entity Type | Organization
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Legal Business Name | ANDRONESI, LLC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 80 W FOSTER ST
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City | MELROSE
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State | MA
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Zip | 02176-3811
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Country | US
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Telephone | 617-459-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 365 CROSS ST
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City | WINCHESTER
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State | MA
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Zip | 01890-1158
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Country | US
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Telephone | 617-459-5650
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ANCA AURELIA ANDRONESI
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Credential | DMD
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Telephone | 617-459-5650
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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 |
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License Number State |
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