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General NPI Number Information
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NPI Number | 1154547099
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Entity Type | Organization
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Legal Business Name | BESS SHAW DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 3875 LAUREL AVE
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City | BEAUMONT
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State | TX
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Zip | 77707
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Country | US
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Telephone | 409-833-0760
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Fax | 409-833-0760
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Provider Business Mailing Address
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Address Line | 3875 LAUREL AVE
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City | BEAUMONT
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State | TX
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Zip | 77707
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Country | US
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Telephone | 409-833-0760
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Fax | 409-833-2327
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Authorized Official
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Title or Position | DENTIST/OWNER/PARTNER
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Name | DR. ARTHUR DONALD SHAW
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Credential | DDS
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Telephone | 409-833-0760
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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 | 13588
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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 | 13588 / 19184
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License Number State | TX
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