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General NPI Number Information
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NPI Number | 1134440217
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Entity Type | Individual
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Provider Name | KATIE TO D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2010
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 24230 KUYKENDAHL ROAD STE. 300
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City | SPRING
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State | TX
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Zip | 77389
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Country | US
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Telephone | 281-255-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 4710 INNSBRUK DR
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City | HOUSTON
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State | TX
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Zip | 77066-4366
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Country | US
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Telephone | 817-675-3656
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 29590
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6176
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License Number State | OK
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