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General NPI Number Information
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NPI Number | 1023822723
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Entity Type | Organization
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Legal Business Name | FLOSSOPHY DENTAL CARE, PLLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 9600 ESCARPMENT BLVD STE 770
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City | AUSTIN
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State | TX
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Zip | 78749-1984
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Country | US
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Telephone | 512-301-2483
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 NORDHAM DR
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City | AUSTIN
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State | TX
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Zip | 78745-4718
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Country | US
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Telephone | 520-990-4684
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BLAKE MULGREW
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Credential | DMD
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Telephone | 520-990-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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