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General NPI Number Information
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NPI Number | 1326280850
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Entity Type | Organization
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Legal Business Name | JHB DENTAL ENTERPRISES, INC.
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 03/30/2009
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Provider Practice Location Address
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Address Line | 2002 SUMMERS ST
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City | ABILENE
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State | TX
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Zip | 79603-1936
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Country | US
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Telephone | 325-672-5988
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Fax | 325-672-5988
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Provider Business Mailing Address
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Address Line | 250 BELTWAY N
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City | ABILENE
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State | TX
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Zip | 79601-8106
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Country | US
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Telephone | 325-672-5988
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Fax | 325-672-5988
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEANNE HANSEN BAYLESS
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Credential | D.D.S.
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Telephone | 325-672-5988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 12014
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License Number State | TX
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