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General NPI Number Information
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NPI Number | 1225722895
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Entity Type | Individual
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Provider Name | AYESHA BAIG DMD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 9722 GASTON RD STE 160
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City | KATY
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State | TX
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Zip | 77494-7941
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Country | US
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Telephone | 309-694-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 32503 FLY FISH WAY
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City | FULSHEAR
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State | TX
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Zip | 77441-2682
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Country | US
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Telephone | 309-360-1790
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.034291
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 41215
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License Number State | TX
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