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General NPI Number Information
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NPI Number | 1043365315
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Entity Type | Organization
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Legal Business Name | AY MEY GAN, D.D.S.,P.A
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 3801 KIRBY DR SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77098-4100
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Country | US
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Telephone | 713-522-9499
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Fax | 713-522-8250
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Provider Business Mailing Address
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Address Line | 3801 KIRBY DR SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77098-4100
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Country | US
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Telephone | 713-522-9499
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Fax | 713-522-8250
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Authorized Official
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Title or Position | OWNER
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Name | AY MEY GAN
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Credential | D.D.S.
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Telephone | 713-522-9499
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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 | 15412
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License Number State | TX
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