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General NPI Number Information
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NPI Number | 1417766213
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Entity Type | Organization
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Legal Business Name | MEADOWS DENTAL CARE LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 9600 S INTERSTATE 35 STE S275
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City | AUSTIN
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State | TX
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Zip | 78748-3888
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Country | US
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Telephone | 803-830-6881
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 S INTERSTATE 35 STE S275
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City | AUSTIN
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State | TX
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Zip | 78748-3888
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Country | US
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Telephone | 803-830-6881
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUNIL R EAMANI
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Credential |
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Telephone | 803-830-6881
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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 |
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License Number State |
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