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General NPI Number Information
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NPI Number | 1275934119
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Entity Type | Organization
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Legal Business Name | VS-HILLCROFT, LLC
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 6909 HILLCROFT ST SUITE 1F
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City | HOUSTON
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State | TX
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Zip | 77081-4823
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Country | US
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Telephone | 281-393-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 3707 COLLEGE PARK DR STE. 200
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City | THE WOODLANDS
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State | TX
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Zip | 77384-4867
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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 | MANAGER
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Name | JAMES PHAM
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Credential |
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Telephone | 832-368-0793
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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 | 24161
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License Number State | TX
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