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General NPI Number Information
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NPI Number | 1013353077
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Entity Type | Organization
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Legal Business Name | JAMES H. BEATY, D.D.S., P.A.
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 22516 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77070-1531
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Country | US
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Telephone | 281-251-9898
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Fax | 281-370-7736
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Provider Business Mailing Address
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Address Line | 22516 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77070-1531
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Country | US
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Telephone | 281-251-9898
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Fax | 281-370-7736
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES H BEATY
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Credential | D.D.S.
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Telephone | 281-251-9898
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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 | 19070
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License Number State | TX
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