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General NPI Number Information
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NPI Number | 1275972150
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Entity Type | Organization
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Legal Business Name | BEFORE 55 PLLC
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 4800 HEDGCOXE RD SUITE 150
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City | PLANO
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State | TX
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Zip | 75024-2403
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Country | US
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Telephone | 214-227-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 HEDGCOXE RD SUITE 150
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City | PLANO
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State | TX
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Zip | 75024-2403
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Country | US
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Telephone | 214-227-1000
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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. ROSA BECK
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Credential | DDS
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Telephone | 214-458-0862
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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 | 25789
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License Number State | TX
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