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General NPI Number Information
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NPI Number | 1437357894
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Entity Type | Organization
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Legal Business Name | DOUGLAS P. SINN, DDS, PA
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 1752 BROAD PARK CIR N #100
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City | MANSFIELD
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State | TX
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Zip | 76063-7821
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Country | US
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Telephone | 817-225-3223
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Fax | 817-225-0242
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Provider Business Mailing Address
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Address Line | 1752 BROAD PARK CIR N #100
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City | MANSFIELD
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State | TX
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Zip | 76063-7821
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Country | US
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Telephone | 817-225-3223
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Fax | 817-225-0242
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Authorized Official
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Title or Position | OWNER OF BUSINESS
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Name | DR. DOUGLAS P SINN
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Credential | DDS
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Telephone | 817-225-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 9255
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License Number State | TX
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