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General NPI Number Information
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NPI Number | 1053166116
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Entity Type | Organization
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Legal Business Name | HOUSTON SMILES ORTHODONTICS
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 11811 FM 1960 RD W STE 150
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City | HOUSTON
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State | TX
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Zip | 77065-3828
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Country | US
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Telephone | 281-955-0380
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Fax | 281-955-0392
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Provider Business Mailing Address
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Address Line | 11811 FM 1960 RD W STE 150
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City | HOUSTON
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State | TX
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Zip | 77065-3828
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Country | US
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Telephone | 281-955-0380
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Fax | 281-955-0392
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAJIR RAHIMI
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Credential | DDS MS MSD
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Telephone | 281-955-0380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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