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General NPI Number Information
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NPI Number | 1437628005
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Entity Type | Organization
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Legal Business Name | COWDIN DENTAL, INC.
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 500 N AKARD ST
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City | DALLAS
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State | TX
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Zip | 75201-3302
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Country | US
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Telephone | 469-778-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 11805 NEERING DR
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City | DALLAS
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State | TX
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Zip | 75218-1929
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Country | US
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Telephone | 469-778-4006
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ANNA COWDIN
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Credential | DMD
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Telephone | 210-254-3398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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