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General NPI Number Information
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NPI Number | 1407664055
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Entity Type | Organization
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Legal Business Name | EASY BREEZY DENTAL WEBER PLLC
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 5792 WEBER RD
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-3965
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Country | US
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Telephone | 617-586-9257
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Fax |
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Provider Business Mailing Address
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Address Line | 11101 LEOPARD ST STE 1&2
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City | CORPUS CHRISTI
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State | TX
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Zip | 78410-2634
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Country | US
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Telephone | 361-878-8277
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AHAD AHMED
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Credential | DMD
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Telephone | 617-586-9257
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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 |
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License Number State |
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