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General NPI Number Information
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NPI Number | 1295149342
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Entity Type | Individual
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Provider Name | AUSIN NEAL LYNN BAKER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 4507 W DAVIS ST STE 170
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City | CONROE
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State | TX
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Zip | 77304-5392
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Country | US
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Telephone | 713-944-0520
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Fax |
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Provider Business Mailing Address
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Address Line | 6318 FM 1488 RD SUITE 120
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City | MAGNOLIA
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State | TX
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Zip | 77354-2763
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Country | US
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Telephone | 801-400-3858
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 29936
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License Number State | TX
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