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General NPI Number Information
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NPI Number | 1265671945
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Entity Type | Organization
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Legal Business Name | NEW SMILE , P.A
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 2133 BUCKINGHAM RD
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City | RICHARDSON
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State | TX
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Zip | 75081-5477
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Country | US
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Telephone | 972-231-9591
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 BUCKINGHAM RD
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City | RICHARDSON
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State | TX
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Zip | 75081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAWN A WU
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Credential |
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Telephone | 972-231-9591
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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 | 16756
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License Number State | TX
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