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General NPI Number Information
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NPI Number | 1285387498
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Entity Type | Individual
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Provider Name | NICOLE SIRIPON DDS
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Gender | Female
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 27110 CINCO RANCH BLVD STE 900
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City | KATY
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State | TX
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Zip | 77494-2705
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Country | US
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Telephone | 281-394-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 4707 MAGNOLIA SUMMIT LN
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City | KATY
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State | TX
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Zip | 77494-8018
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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 |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39206
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License Number State | TX
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