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General NPI Number Information
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NPI Number | 1013290865
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Entity Type | Organization
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Legal Business Name | THE DENTISTS AT 650 HEIGHTS PLLC
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 10/22/2011
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Provider Practice Location Address
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Address Line | 650 HEIGHTS BLVD.
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City | HOUSTON
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State | TX
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Zip | 77007
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Country | US
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Telephone | 281-974-4086
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Fax | 713-588-1843
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Provider Business Mailing Address
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Address Line | 5023 DARNELL ST
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City | HOUSTON
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State | TX
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Zip | 77096-1510
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Country | US
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Telephone | 281-974-4086
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Fax | 713-588-1843
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALICIA PAOLA VALENTINI
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Credential | DDS, MS
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Telephone | 832-875-6408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 24060
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 21118
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License Number State | TX
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