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General NPI Number Information
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NPI Number | 1316431877
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Entity Type | Individual
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Provider Name | MRS. MARIANGELA ARATA SMITH
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 08/24/2019
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Provider Practice Location Address
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Address Line | 4914 BISSONNET ST STE 200
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-903-8835
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Fax |
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Provider Business Mailing Address
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Address Line | 1318 W 21ST ST UNIT B
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City | HOUSTON
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State | TX
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Zip | 77008-2860
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Country | US
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Telephone | 832-693-3281
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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 | 34063
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License Number State | TX
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