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General NPI Number Information
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NPI Number | 1013246107
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Entity Type | Individual
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Provider Name | ELIAS G KHALIL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 08/28/2011
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Provider Practice Location Address
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Address Line | 10603 FUQUA ST SUITE D
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City | HOUSTON
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State | TX
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Zip | 77089-2630
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Country | US
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Telephone | 713-944-4901
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Fax | 713-944-4900
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Provider Business Mailing Address
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Address Line | 99 N POST OAK LN # 9202
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City | HOUSTON
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State | TX
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Zip | 77024-7766
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Country | US
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Telephone | 513-885-9311
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 25017
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License Number State | TX
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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 | D7894
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 58575
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License Number State | CA
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