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General NPI Number Information
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NPI Number | 1043668007
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON ORAL SURGERY GROUP,PLLC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 152 FM 1960 RD SUITE D
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City | HOUSTON
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State | TX
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Zip | 77073-1815
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Country | US
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Telephone | 281-821-3333
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Fax | 281-443-3397
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Provider Business Mailing Address
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Address Line | 152 FM 1960 RD SUITE D
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City | HOUSTON
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State | TX
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Zip | 77073-1815
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Country | US
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Telephone | 281-821-3333
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Fax | 281-443-3397
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEJOON KIM
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Credential |
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Telephone | 281-821-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | NULL
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