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General NPI Number Information
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NPI Number | 1114327319
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Entity Type | Organization
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Legal Business Name | TRI DENTAL PLLC
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 5757 WARREN PKWY 220
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City | FRISCO
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State | TX
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Zip | 75034-4274
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Country | US
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Telephone | 817-845-7879
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Fax |
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Provider Business Mailing Address
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Address Line | 5757 WARREN PKWY 220
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City | FRISCO
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State | TX
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Zip | 75034-4274
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. DANIEL JUMA
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Credential | D.D.S
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Telephone | 817-845-7879
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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 |
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License Number State |
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