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General NPI Number Information
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NPI Number | 1134777519
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Entity Type | Individual
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Provider Name | MUMAL MUKUND MULTANI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 2150 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3680
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Country | US
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Telephone | 281-350-1837
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WATERWAY AVE APT 2309
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3466
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Country | US
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Telephone | 312-522-1045
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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 | 35695
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License Number State | TX
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