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General NPI Number Information
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NPI Number | 1235468869
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Entity Type | Organization
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Legal Business Name | ACCESS ORTHODONTICS OF HALTOM CITY PA
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 3101 DENTON HWY SUITE 100
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City | HALTOM CITY
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State | TX
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Zip | 76117-3706
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Country | US
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Telephone | 817-831-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 DENTON HWY SUITE 100
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City | HALTOM CITY
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State | TX
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Zip | 76117-3706
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Country | US
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Telephone | 817-831-6500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANURAG PATEL
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Credential | DMD
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Telephone | 817-831-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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