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General NPI Number Information
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NPI Number | 1407978398
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Entity Type | Organization
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Legal Business Name | ROBERT S. CONRAD,D.D.S.,P.A.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 800 GESSNER RD 250
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City | HOUSTON
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State | TX
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Zip | 77024-4276
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Country | US
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Telephone | 713-468-2936
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Fax | 713-465-6957
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Provider Business Mailing Address
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Address Line | 800 GESSNER RD 250
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City | HOUSTON
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State | TX
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Zip | 77024-4276
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Country | US
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Telephone | 713-468-2936
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Fax | 713-465-6957
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | MS. CARENDRA L HOGUES
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Credential |
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Telephone | 713-468-2936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 15396
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License Number State | TX
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