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General NPI Number Information
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NPI Number | 1447526223
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Entity Type | Organization
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Legal Business Name | AMOR DENTAL CARE PLLC
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 1302 W RUNDBERG LN
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City | AUSTIN
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State | TX
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Zip | 78758-6238
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Country | US
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Telephone | 512-491-0077
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Fax | 512-491-0796
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Provider Business Mailing Address
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Address Line | 1302 W RUNDBERG LN
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City | AUSTIN
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State | TX
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Zip | 78758-6238
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Country | US
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Telephone | 512-491-0077
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Fax | 512-491-0796
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUNAID KHAN
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Credential | DDS
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Telephone | 740-803-0150
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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 | 23671
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23085
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License Number State | TX
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