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General NPI Number Information
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NPI Number | 1467555367
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Entity Type | Individual
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Provider Name | PAUL K LONQUIST D.D.S.,F.A.G.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14115 JOSEY LN. SUITE 100
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-3527
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Country | US
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Telephone | 972-247-5923
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Fax | 972-247-1803
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Provider Business Mailing Address
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Address Line | 14115 JOSEY LN. SUITE 100
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-3527
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Country | US
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Telephone | 972-247-5923
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Fax | 972-247-1803
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12858
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License Number State | TX
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