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General NPI Number Information
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NPI Number | 1982353496
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Entity Type | Individual
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Provider Name | FERNANDA DANTE MARTINEZ DE FREITAS DDS
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1575 BLUE HILL AVE
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City | MATTAPAN
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State | MA
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Zip | 02126-2122
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Country | US
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Telephone | 617-898-9048
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Fax |
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Provider Business Mailing Address
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Address Line | 18 ANCHORAGE RD
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City | FRANKLIN
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State | MA
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Zip | 02038-1538
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Country | US
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Telephone | 832-709-8416
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DL100752
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30464
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 05306
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License Number State | NH
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