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General NPI Number Information
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NPI Number | 1356648604
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Entity Type | Organization
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Legal Business Name | LANCEJJUE PLC
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 3748 CARTWRIGHT RD
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City | MISSOURI CITY
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State | TX
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Zip | 77459-2431
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Country | US
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Telephone | 281-261-2612
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Fax |
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Provider Business Mailing Address
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Address Line | 1447 HIGHWAY 6 STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77478-5094
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Country | US
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Telephone | 281-277-9200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LANCE QUAN JUE
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Credential | D.D.S.
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Telephone | 281-277-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 16847
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License Number State | TX
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