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General NPI Number Information
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NPI Number | 1376089060
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Entity Type | Organization
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Legal Business Name | ZACHARY J HOLDER DDS PLLC
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 4201 GARTH RD STE 311
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City | BAYTOWN
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State | TX
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Zip | 77521-3156
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Country | US
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Telephone | 281-427-5305
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Fax | 281-839-7481
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Provider Business Mailing Address
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Address Line | 5411 NOLDA ST
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City | HOUSTON
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State | TX
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Zip | 77007-4316
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Country | US
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Telephone | 281-427-5305
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Fax | 281-839-7481
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. ZACHARY JAMES HOLDER
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Credential | D.D.S.
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Telephone | 281-427-5305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22806
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License Number State | TX
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