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General NPI Number Information
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NPI Number | 1437526282
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Entity Type | Organization
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Legal Business Name | LOVE BRUSHING DENTISTRY
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 13740 EAST FWY SUITE D
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City | HOUSTON
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State | TX
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Zip | 77015-5929
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Country | US
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Telephone | 832-581-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 5229 DARLING ST SUITE B
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City | HOUSTON
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State | TX
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Zip | 77007-1913
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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 | PRESIDENT/OWNER
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Name | DR. SANAZ KHAVARI
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Credential |
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Telephone | 214-226-0354
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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 | 28034
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License Number State | TX
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