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General NPI Number Information
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NPI Number | 1255852190
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Entity Type | Individual
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Provider Name | JENNIFER DUNHAM JAMES M.B.A., D.M.D., M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2734 SUNRISE BLVD STE 302
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City | PEARLAND
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State | TX
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Zip | 77584-8709
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Country | US
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Telephone | 281-854-2960
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Fax | 281-854-2960
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Provider Business Mailing Address
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Address Line | 708 KIPLING ST
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City | HOUSTON
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State | TX
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Zip | 77006-4406
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Country | US
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Telephone | 312-636-5584
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 32837
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License Number State | TX
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