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General NPI Number Information
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NPI Number | 1073921243
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Entity Type | Organization
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Legal Business Name | JINDAL DENTAL ASSOCIATES
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 5414 ANTOINE DR
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City | HOUSTON
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State | TX
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Zip | 77091-4951
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Country | US
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Telephone | 832-538-1980
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Fax | 832-519-9948
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Provider Business Mailing Address
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Address Line | 5414 ANTOINE DR
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City | HOUSTON
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State | TX
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Zip | 77091-4951
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Country | US
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Telephone | 832-538-1980
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Fax | 832-519-9948
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Authorized Official
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Title or Position | DENTIST
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Name | SUMIT JINDAL
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Credential | DDS
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Telephone | 832-538-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30189
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26278
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License Number State | TX
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