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General NPI Number Information
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NPI Number | 1285774778
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Entity Type | Individual
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Provider Name | SHANDRA DENISE CUSHINGBERRY-RAND D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 10350 S POST OAK RD SUITE H
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City | HOUSTON
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State | TX
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Zip | 77035-3313
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Country | US
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Telephone | 713-551-9400
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Fax | 713-551-9405
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Provider Business Mailing Address
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Address Line | 10350 S POST OAK RD SUITE H
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City | HOUSTON
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State | TX
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Zip | 77035-3313
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Country | US
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Telephone | 713-551-9400
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Fax | 713-551-9405
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 19439
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License Number State | TX
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