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General NPI Number Information
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NPI Number | 1205922853
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Entity Type | Individual
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Provider Name | TERRI EILEEN TRAIN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 N. CENTRAL EXPRESSWAY SUITE 1108
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City | RICHARDSON
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State | TX
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Zip | 75080-5328
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Country | US
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Telephone | 972-235-8555
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Fax | 972-235-3148
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Provider Business Mailing Address
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Address Line | 100 N. CENTRAL EXPRESSWAY SUITE 1108
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City | RICHARDSON
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State | TX
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Zip | 75080-5328
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Country | US
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Telephone | 972-235-8555
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Fax | 972-235-3148
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 16547
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License Number State | TX
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