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General NPI Number Information
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NPI Number | 1205942950
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Entity Type | Individual
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Provider Name | WALTER DANIEL GAFFNEY JR. DDS, MDS
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 1305 WEST PARKWOOD (FM 528) SUITE 111
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5724
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Country | US
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Telephone | 281-992-9900
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Fax | 281-992-9906
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Provider Business Mailing Address
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Address Line | 1305 WEST PARKWOOD (FM528) SUITE 111
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5724
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Country | US
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Telephone | 281-992-9900
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Fax | 281-992-9906
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 17138
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License Number State | TX
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