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General NPI Number Information
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NPI Number | 1053471698
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Entity Type | Individual
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Provider Name | HELIODORE ANATOLE HOUENOU DDS
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1790 ATKINSTON ROAD BLDG 4, STE B
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043
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Country | US
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Telephone | 770-962-4322
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Fax | 678-407-2787
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Provider Business Mailing Address
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Address Line | 1790 ATKINSTON ROAD BUILDING 4, SUITE B
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043
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Country | US
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Telephone | 770-962-4322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 012216
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License Number State | GA
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