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General NPI Number Information
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NPI Number | 1245760784
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Entity Type | Individual
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Provider Name | EMILIE FAUCHEU DMD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 06/18/2017
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Provider Practice Location Address
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Address Line | 1006 N WELLS ST
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City | EDNA
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State | TX
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Zip | 77957-2153
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Country | US
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Telephone | 361-792-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 8311 NE ZAC LENTZ PKWY APT 936
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City | VICTORIA
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State | TX
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Zip | 77904-3169
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Country | US
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Telephone | 832-858-4670
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 32949
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License Number State | TX
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