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General NPI Number Information
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NPI Number | 1164849741
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Entity Type | Organization
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Legal Business Name | HAPII DENTAL
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 9300 LAMAR BLVD SUITE A
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City | AUSTIN
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State | TX
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Zip | 78753-4104
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Country | US
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Telephone | 512-832-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 11011 SLY BEAVER DR
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City | AUSTIN
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State | TX
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Zip | 78754-6065
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ALEEAHNA PHAN
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Credential | DMD
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Telephone | 954-654-4694
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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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