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General NPI Number Information
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NPI Number | 1346589561
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Entity Type | Organization
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Legal Business Name | SPRING ENDODONTICS
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 525 SAWDUST RD # 107
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City | SPRING
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State | TX
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Zip | 77380-2385
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Country | US
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Telephone | 281-203-0503
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Fax | 281-203-0563
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Provider Business Mailing Address
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Address Line | 525 SAWDUST RD # 107
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City | SPRING
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State | TX
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Zip | 77380-2385
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Country | US
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Telephone | 281-203-0503
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Fax | 281-203-0563
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHIWEI CAI
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Credential | DDS, MSD,MS,PHD
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Telephone | 713-806-0264
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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 |
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License Number State | TX
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