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General NPI Number Information
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NPI Number | 1346714102
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Entity Type | Organization
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Legal Business Name | ATHENA DENTAL ASSOCIATES OF HOUSTON, INC.
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 2617 W HOLCOMBE BLVD STE I
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City | HOUSTON
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State | TX
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Zip | 77025-4715
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Country | US
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Telephone | 832-862-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 2617 W HOLCOMBE BLVD STE I
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City | HOUSTON
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State | TX
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Zip | 77025-4715
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Country | US
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Telephone | 832-862-1111
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Fax |
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Authorized Official
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Title or Position | PERSIDENT
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Name | DR. ELHAM ABBASSI
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Credential | DDS
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Telephone | 832-515-6685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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