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General NPI Number Information
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NPI Number | 1144242843
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Entity Type | Organization
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Legal Business Name | ABC DENTISTRY PASADENA, PA
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 1313 STRAWBERRY RD
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City | PASADENA
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State | TX
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Zip | 77502-2601
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Country | US
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Telephone | 713-472-6100
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Fax | 713-472-6101
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Provider Business Mailing Address
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Address Line | 1500 SOUTHMORE AVE
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City | PASADENA
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State | TX
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Zip | 77502-1307
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Country | US
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Telephone | 713-944-6800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRAJ S JABBARY
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Credential | D.D.S.
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Telephone | 713-944-6800
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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 | 18929
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License Number State | TX
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