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General NPI Number Information
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NPI Number | 1164789558
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Entity Type | Organization
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Legal Business Name | BELLA VITA DENTAL
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 8410 FONDREN RD
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City | HOUSTON
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State | TX
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Zip | 77074-5616
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Country | US
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Telephone | 713-772-2676
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Fax | 713-772-2678
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Provider Business Mailing Address
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Address Line | 8410 FONDREN RD
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City | HOUSTON
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State | TX
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Zip | 77074-5616
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Country | US
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Telephone | 713-772-2676
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Fax | 713-772-2678
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Authorized Official
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Title or Position | OWNER
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Name | DR. AKUDO L EKWEM
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Credential | DDS
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Telephone | 713-772-2676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 25737
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License Number State | TX
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