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General NPI Number Information
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NPI Number | 1407971724
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Entity Type | Organization
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Legal Business Name | G. RAY HAMBY, D.D.S., M.S.D., INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 N CENTRAL EXPY SUITE 1108
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City | RICHARDSON
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State | TX
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Zip | 75080-5332
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Country | US
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Telephone | 972-235-8666
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Fax | 972-235-2916
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Provider Business Mailing Address
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Address Line | 100 N CENTRAL EXPY SUITE 1108
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City | RICHARDSON
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State | TX
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Zip | 75080-5332
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Country | US
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Telephone | 972-235-8666
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Fax | 972-235-2916
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE R HAMBY
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Credential | D.D.S.
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Telephone | 972-235-8666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8951
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License Number State | TX
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