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General NPI Number Information
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NPI Number | 1467995456
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Entity Type | Organization
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Legal Business Name | CRS DENTAL MARKETING, LLC
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 9774 KATY FWY STE 400
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City | HOUSTON
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State | TX
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Zip | 77055-6241
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Country | US
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Telephone | 281-616-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 9774 KATY FWY STE 400
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City | HOUSTON
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State | TX
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Zip | 77055-6241
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Country | US
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Telephone | 281-616-7893
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. SALEEM MAZEN BABA
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Credential | D.D.S.
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Telephone | 281-616-7893
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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 | 29220
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License Number State | TX
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