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General NPI Number Information
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NPI Number | 1003157694
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Entity Type | Organization
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Legal Business Name | SOHN DENTAL, PC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 165 STONEBRIDGE LN SUITE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-431-8887
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Fax | 817-431-3450
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Provider Business Mailing Address
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Address Line | 165 STONEBRIDGE LANE SUITE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-431-8887
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Fax | 817-431-3450
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. PAIGE J SOHN
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Credential | DDS
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Telephone | 817-431-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20596
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License Number State | TX
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