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General NPI Number Information
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NPI Number | 1326461492
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Entity Type | Organization
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Legal Business Name | H2 ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 3090 N GOLIAD ST STE 106
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City | ROCKWALL
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State | TX
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Zip | 75087-7049
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Country | US
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Telephone | 972-722-2943
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Fax | 972-722-2978
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Provider Business Mailing Address
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Address Line | 3090 N GOLIAD ST STE 106
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City | ROCKWALL
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State | TX
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Zip | 75087-7049
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Country | US
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Telephone | 972-722-2943
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Fax | 972-722-2978
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BRYAN HUMBERT HSU
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Credential | D.D.S., M.S.
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Telephone | 972-722-2943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 28619
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License Number State | TX
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