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General NPI Number Information
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NPI Number | 1134912785
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Entity Type | Organization
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Legal Business Name | AUSTIN ELITE DENTAL & IMPLANT
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 11672 JOLLYVILLE RD
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City | AUSTIN
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State | TX
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Zip | 78759-3935
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Country | US
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Telephone | 737-444-2626
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Fax | 737-444-2627
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Provider Business Mailing Address
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Address Line | 1512 LEANDER RD
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City | GEORGETOWN
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State | TX
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Zip | 78628-8801
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Country | US
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Telephone | 214-960-6367
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Fax | 214-960-6367
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Authorized Official
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Title or Position | OWNER
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Name | SAEID ABBASIYAN
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Credential | DDS
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Telephone | 214-960-6367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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