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General NPI Number Information
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NPI Number | 1467167114
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Entity Type | Organization
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Legal Business Name | ROSAS FAMILY DENTISTRY
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 2508 BAY AREA BLVD STE 600
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City | HOUSTON
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State | TX
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Zip | 77058-1575
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Country | US
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Telephone | 281-486-8340
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Fax | 281-786-3937
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Provider Business Mailing Address
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Address Line | 2508 BAY AREA BLVD STE 600
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City | HOUSTON
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State | TX
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Zip | 77058-1575
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Country | US
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Telephone | 281-486-8340
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Fax | 281-786-3937
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NAN MAE ROSAS
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Credential | DDS
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Telephone | 832-940-3594
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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 |
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License Number State |
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