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General NPI Number Information
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NPI Number | 1447580345
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Entity Type | Organization
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Legal Business Name | DENTAL PEOPLE
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 2516 W ILLINOIS AVE
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City | DALLAS
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State | TX
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Zip | 75233-1108
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Country | US
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Telephone | 800-578-2114
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Fax | 800-578-1791
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Provider Business Mailing Address
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Address Line | PO BOX 702227
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City | DALLAS
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State | TX
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Zip | 75370-2227
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Country | US
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Telephone | 800-578-2114
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Fax | 800-578-1791
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SHARON HSE CHAN
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Credential | D.D.S.
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Telephone | 800-578-2114
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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 | 21094
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22370
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License Number State | TX
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