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General NPI Number Information
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NPI Number | 1184392524
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Entity Type | Organization
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Legal Business Name | EASE DENTAL SOLUTIONS
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 179 VERBENA DR
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City | TEMPLE
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State | TX
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Zip | 76502-4505
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Country | US
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Telephone | 254-778-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GABRIELS BLUFF DR APT 15405
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City | GEORGETOWN
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State | TX
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Zip | 78626-1886
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Country | US
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Telephone | 408-318-4717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMEKA ARINZE EZEOKEKE
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Credential | DDS
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Telephone | 408-318-4717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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