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General NPI Number Information
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NPI Number | 1386950962
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Entity Type | Organization
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Legal Business Name | ALLIANCE DENTISTS
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 1107 E JAMES ST
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City | BAYTOWN
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State | TX
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Zip | 77520-5821
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Country | US
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Telephone | 281-318-1291
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Fax | 281-715-2188
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Provider Business Mailing Address
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Address Line | 1107 E JAMES ST
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City | BAYTOWN
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State | TX
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Zip | 77520-5821
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Country | US
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Telephone | 281-318-1291
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Fax | 281-715-2188
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. YAMMINE GABRIEL YAMMINE
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Credential | DDS
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Telephone | 12813181291
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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 | 20575
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License Number State | TX
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