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General NPI Number Information
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NPI Number | 1306129473
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Entity Type | Organization
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Legal Business Name | HORIZON DENTAL CARE
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Dates
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Enumeration Date | 09/24/2011
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1615 WILLIAMS DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-3659
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Country | US
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Telephone | 512-864-9911
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Fax | 512-864-9927
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Provider Business Mailing Address
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Address Line | 1615 WILLIAMS DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-3659
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Country | US
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Telephone | 512-864-9911
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Fax | 512-864-9927
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Authorized Official
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Title or Position | OWNER
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Name | ZEYAD B ZEYAD
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Credential | DDS
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Telephone | 512-864-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 25667
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License Number State | TX
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