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General NPI Number Information
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NPI Number | 1205117736
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Entity Type | Organization
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Legal Business Name | CHRISTY CAFFEY-EARLE, DDS, PA
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 3301 LONG PRAIRIE RD SUITE 110
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2702
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Country | US
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Telephone | 972-874-1200
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Fax | 972-874-9332
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Provider Business Mailing Address
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Address Line | 3301 LONG PRAIRIE RD SUITE 110
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2702
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Country | US
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Telephone | 972-874-1200
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Fax | 972-874-9332
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTY CAFFEY-EARLE
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Credential | D.D.S.
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Telephone | 972-874-1200
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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 | 19780
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License Number State | TX
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