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General NPI Number Information
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NPI Number | 1366265654
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Entity Type | Organization
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Legal Business Name | EZZI DENTAL PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 27721 TOMBALL PARKWAY SUITE 600
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City | TOMBALL
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State | TX
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Zip | 77375
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Country | US
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Telephone | 281-417-3400
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Fax | 281-789-4153
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Provider Business Mailing Address
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Address Line | 12918 MILL RIDGE DR
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City | CYPRESS
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State | TX
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Zip | 77429-4723
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Country | US
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Telephone | 832-794-2176
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | HUSAIN KAPADIA
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Credential | DMD
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Telephone | 281-417-3400
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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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