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General NPI Number Information
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NPI Number | 1386034999
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Entity Type | Individual
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Provider Name | MEERA GEORGE MAVELI B.D.S, M.S
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Gender | Female
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 9526 N SAM HOUSTON PKWY E SUITE # 3116
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City | HUMBLE
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State | TX
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Zip | 77396-4733
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Country | US
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Telephone | 832-361-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 9526 N SAM HOUSTON PKWY E SUITE # 3116
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City | HUMBLE
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State | TX
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Zip | 77396-4733
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Country | US
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Telephone | 832-361-3222
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 30670
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 30670
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License Number State | TX
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