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NPI 1073395802

NPI 1073395802 : THE DENTISTS AT 650 HEIGHTS : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1073395802
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE DENTISTS AT 650 HEIGHTS 
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Dates
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    Enumeration Date     |    10/17/2023
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    Last Update Date     |    11/13/2023
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Provider Practice Location Address
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    Address Line         |    650 HEIGHTS BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77007-2524
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    Country              |    US
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    Telephone            |    281-974-4408
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    Fax                  |    713-588-1843
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Provider Business Mailing Address
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    Address Line         |    650 HEIGHTS BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77007-2524
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    Country              |    US
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    Telephone            |    281-974-4408
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DR.
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    Name                 |     ALICIA PAOLA VALENTINI 
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    Credential           |    DDS. MS,
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    Telephone            |    281-974-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0300X
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    Taxonomy Name        |    Periodontics
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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        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    
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    License Number State |    
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