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General NPI Number Information
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NPI Number | 1184971632
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Entity Type | Organization
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Legal Business Name | CHIARA COMBS DDS PA
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 902 NORMANDY ST #300
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City | HOUSTON
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State | TX
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Zip | 77015-4952
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Country | US
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Telephone | 713-453-9926
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Fax | 713-453-9927
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Provider Business Mailing Address
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Address Line | 902 NORMANDY ST #300
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City | HOUSTON
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State | TX
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Zip | 77015-4952
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Country | US
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Telephone | 713-453-9926
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Fax | 713-453-9927
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. CHIARA COMBS
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Credential | DDS
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Telephone | 713-453-9926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21572
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License Number State | TX
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