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General NPI Number Information
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NPI Number | 1174802284
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Entity Type | Organization
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Legal Business Name | LONE STAR SMILES, PC
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Dates
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Enumeration Date | 08/06/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 6888 GULF FWY # 600
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City | HOUSTON
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State | TX
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Zip | 77087-2556
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Country | US
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Telephone | 404-345-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 MARCHWOOD MANOR DR
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City | HOUSTON
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State | TX
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Zip | 77090-2218
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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 | PRESIDENT
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Name | FIROZ LALANI
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Credential | D.M.D
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Telephone | 404-345-2599
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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 | 23720
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License Number State | TX
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