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General NPI Number Information
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NPI Number | 1033697727
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Entity Type | Organization
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Legal Business Name | AMINI DENTAL, PLLC
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 10350 S POST OAK RD STE H
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City | HOUSTON
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State | TX
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Zip | 77035-3319
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Country | US
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Telephone | 713-551-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 16918 BLUE MIST CIR
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City | SUGAR LAND
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State | TX
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Zip | 77498-4816
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHAHNAM AMINI
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Credential | DDS
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Telephone | 832-643-8429
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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 | 31211
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License Number State | TX
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