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General NPI Number Information
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NPI Number | 1386936979
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Entity Type | Organization
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Legal Business Name | DENTAL ARTS BY LENA
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Dates
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Enumeration Date | 05/14/2011
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Last Update Date | 05/14/2011
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Provider Practice Location Address
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Address Line | 4041 STECK AVE
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City | AUSTIN
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State | TX
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Zip | 78759-8620
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Country | US
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Telephone | 512-656-0561
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Fax | 512-349-9246
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Provider Business Mailing Address
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Address Line | 4041 STECK AVE
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City | AUSTIN
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State | TX
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Zip | 78759-8620
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Country | US
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Telephone | 512-656-0561
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Fax | 512-349-9246
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. LENA J SALHA
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Credential | DDS
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Telephone | 512-656-0561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15589
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License Number State | TX
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