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General NPI Number Information
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NPI Number | 1457929127
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Entity Type | Organization
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Legal Business Name | TAAT INCORPORATED
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 2016 W WHITE ST # 300
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City | ANNA
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State | TX
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Zip | 75409-5171
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Country | US
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Telephone | 214-636-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 770 MEANDERING WAY
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City | FAIRVIEW
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State | TX
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Zip | 75069-1327
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Country | US
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Telephone | 214-636-0001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT WILLIAM LUDLOW
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Credential | DDS
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Telephone | 214-636-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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