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General NPI Number Information
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NPI Number | 1427948793
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Entity Type | Individual
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Provider Name | ABDUL KALO DMD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 5892 EASTEX FWY STE B
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City | BEAUMONT
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State | TX
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Zip | 77708-4824
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Country | US
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Telephone | 409-305-9314
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Fax |
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Provider Business Mailing Address
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Address Line | 5615 BALLINA CANYON LN
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City | HOUSTON
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State | TX
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Zip | 77041-5786
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 41744
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License Number State | TX
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