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General NPI Number Information
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NPI Number | 1245475193
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Entity Type | Organization
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Legal Business Name | ROYALTY DENATL ASSOCIATES
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Dates
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Enumeration Date | 12/06/2008
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Last Update Date | 12/06/2008
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Provider Practice Location Address
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Address Line | 8714 SPRING CYPRESS RD SUITE 210
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City | SPRING
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State | TX
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Zip | 77379-3135
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Country | US
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Telephone | 281-655-0500
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Fax | 281-655-0504
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Provider Business Mailing Address
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Address Line | 8714 SPRING CYPRESS RD SUITE 210
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City | SPRING
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State | TX
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Zip | 77379-3135
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Country | US
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Telephone | 281-655-0500
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Fax | 281-655-0504
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Authorized Official
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Title or Position | DENTAIST
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Name | DR. FARIBA FARAJNEJAD
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Credential | DENTIST
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Telephone | 281-655-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 122300000X
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License Number State | TX
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