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General NPI Number Information
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NPI Number | 1326265414
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Entity Type | Organization
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Legal Business Name | NORMA OLVERA D D S PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 4400 POST OAK PARKWAY #1190
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City | HOUSTON
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State | TX
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Zip | 77027
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Country | US
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Telephone | 713-871-0788
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Fax | 713-871-0924
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Provider Business Mailing Address
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Address Line | 4400 POST OAK PARKWAY #1190
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City | HOUSTON
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State | TX
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Zip | 77027
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Country | US
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Telephone | 713-871-0788
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Fax | 713-871-0924
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMA OLVERA
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Credential | D D S
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Telephone | 713-871-0788
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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 | 15359
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License Number State | TX
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