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General NPI Number Information
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NPI Number | 1366623175
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Entity Type | Organization
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Legal Business Name | JOHN S. OUSLEY, DDS, MSD, PA
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 7005 PASTOR BAILEY SUITE 100 A
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City | DALLAS
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State | TX
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Zip | 75237-2649
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Country | US
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Telephone | 972-296-1835
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Fax | 972-296-1867
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Provider Business Mailing Address
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Address Line | 7005 PASTOR BAILEY SUITE 100 A
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City | DALLAS
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State | TX
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Zip | 75237-2649
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Country | US
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Telephone | 972-296-1835
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Fax | 972-296-1867
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN S OUSLEY
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Credential | DDS, MSD
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Telephone | 972-296-1835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8346
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License Number State | TX
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