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General NPI Number Information
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NPI Number | 1336103696
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Entity Type | Organization
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Legal Business Name | DR HENRY TEXER JR DDS PC
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2757 44 ST SW SUITE 303
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City | WYOMING
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State | MI
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Zip | 49519-4192
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Country | US
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Telephone | 616-538-1050
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Fax | 616-831-6712
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Provider Business Mailing Address
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Address Line | 2757 44 ST SW SUITE 303
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City | WYOMING
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State | MI
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Zip | 49519-4192
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Country | US
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Telephone | 616-538-1050
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Fax | 616-831-6712
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. HENRY TEXER JR.
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Credential | DDS
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Telephone | 616-538-1050
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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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