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General NPI Number Information
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NPI Number | 1316749849
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Entity Type | Organization
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Legal Business Name | QQQ PLLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 5330B FM 1960 RD E
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City | HUMBLE
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State | TX
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Zip | 77346-2502
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Country | US
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Telephone | 281-852-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 19380 INTERSTATE 45 STE 110
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City | SPRING
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State | TX
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Zip | 77373-5308
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Country | US
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Telephone | 281-353-2442
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | TAE CHUL HO
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Credential | DDS
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Telephone | 917-687-4425
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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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