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NPI 1326962143

NPI 1326962143 : VALUDENTAL ROUND ROCK : ROUND ROCK, TX

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General NPI Number Information
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    NPI Number           |    1326962143
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALUDENTAL ROUND ROCK 
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Dates
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    Enumeration Date     |    08/05/2026
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    Last Update Date     |    08/05/2026
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Provider Practice Location Address
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    Address Line         |    200 N RED BUD LN 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78665-8904
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    Country              |    US
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    Telephone            |    574-612-2340
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 N RED BUD LN 
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    City                 |    ROUND ROCK
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    State                |    TX
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    Zip                  |    78665-8904
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    RCM DIRECTOR
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    Name                 |     GEORGIA  RHINESMITH 
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    Credential           |    
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    Telephone            |    574-612-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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