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General NPI Number Information
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NPI Number | 1295248615
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Entity Type | Organization
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Legal Business Name | MEDLEX DENTAL GROUP P.C.
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 5321 E MOCKINGBIRD LN STE 210
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City | DALLAS
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State | TX
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Zip | 75206-0915
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Country | US
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Telephone | 214-824-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 5321 E MOCKINGBIRD LN STE 210
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City | DALLAS
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State | TX
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Zip | 75206-0915
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Country | US
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Telephone | 214-824-7873
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Fax |
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Authorized Official
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Title or Position | D.D.S./OWNER
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Name | NATASHA HASSAM-SARWAR
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Credential |
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Telephone | 214-775-9524
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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 |
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License Number State |
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