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General NPI Number Information
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NPI Number | 1326581893
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Entity Type | Organization
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Legal Business Name | CYPRESS ENDODONTICS
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 10519 FRY RD STE C5-100
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City | CYPRESS
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State | TX
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Zip | 77433-5348
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Country | US
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Telephone | 281-217-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 10519 FRY RD STE C5-100
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City | CYPRESS
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State | TX
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Zip | 77433-5348
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Country | US
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Telephone | 281-217-4045
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VI CHU HO
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Credential | DDS
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Telephone | 281-217-4045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 24926
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License Number State | TX
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