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General NPI Number Information
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NPI Number | 1184942153
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Entity Type | Organization
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Legal Business Name | JAMES S HENSON MANFRED H QUENTEL DDS
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 7810 FM 1960 RD E STE 105
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City | HUMBLE
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State | TX
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Zip | 77346-2252
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Country | US
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Telephone | 281-812-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 7810 FM 1960 RD E STE 105
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City | HUMBLE
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State | TX
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Zip | 77346-2252
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Country | US
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Telephone | 281-812-1144
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANFRED H QUENTEL
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Credential | DDS
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Telephone | 281-812-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1408
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License Number State | TX
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