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General NPI Number Information
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NPI Number | 1275554404
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Entity Type | Organization
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Legal Business Name | TEXAS SMILES P.A.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 10216 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77072-5016
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Country | US
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Telephone | 281-530-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 10216 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77072-5016
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Country | US
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Telephone | 281-530-1900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELOISE ESTHER ANGULO
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Credential | D.D.S.
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Telephone | 281-530-1900
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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 | 18924
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License Number State | TX
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