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General NPI Number Information
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NPI Number | 1215945639
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Entity Type | Organization
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Legal Business Name | FORTUNE PHI, PA
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 1355 W GRAY ST
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City | HOUSTON
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State | TX
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Zip | 77019-4019
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Country | US
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Telephone | 713-526-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 W GRAY ST
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City | HOUSTON
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State | TX
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Zip | 77019-4019
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Country | US
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Telephone | 713-526-2904
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SRIDHAR SISTA
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Credential |
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Telephone | 713-526-2904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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