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General NPI Number Information
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NPI Number | 1992552392
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Entity Type | Individual
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Provider Name | JANELLE LOGRONIO DMD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 193 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-2549
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Country | US
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Telephone | 508-669-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 340 W 2ND ST APT 21
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City | SOUTH BOSTON
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State | MA
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Zip | 02127-4748
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Country | US
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Telephone | 904-303-3075
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN10000997
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License Number State | MA
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