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General NPI Number Information
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NPI Number | 1144869280
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Entity Type | Organization
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Legal Business Name | ANNA COWDIN DENTAL LLC
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 17300 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5636
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Country | US
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Telephone | 972-380-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 17300 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5636
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Country | US
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Telephone | 210-254-3398
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANNA COWDIN
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Credential |
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Telephone | 210-254-3398
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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 |
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License Number State |
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