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NPI 1184751471

NPI 1184751471 : HAROLD KAISER HEUSZEL D.D.S.,FAGD : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1184751471
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    Entity Type          |    Individual 
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    Provider Name        |    HAROLD KAISER HEUSZEL D.D.S.,FAGD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/27/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    11326 WESTHEIMER RD SUITE B
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-6865
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    Country              |    US
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    Telephone            |    281-558-2792
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    Fax                  |    281-597-0277
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Provider Business Mailing Address
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    Address Line         |    1203 HEATHWOOD DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77077-2617
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    Country              |    US
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    Telephone            |    281-870-5848
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    Fax                  |    281-920-1737
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    13889
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    License Number State |    TX
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