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General NPI Number Information
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NPI Number | 1033916002
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Entity Type | Organization
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Legal Business Name | LENA SHOUKFEH KHARRAT DDS PA
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 5255 79TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2852
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Country | US
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Telephone | 806-794-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 11201 NORFOLK AVE UNIT 10
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City | LUBBOCK
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State | TX
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Zip | 79423-7943
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Country | US
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Telephone | 806-544-9876
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LENA S KHARRAT
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Credential | DDS
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Telephone | 806-544-9876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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