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General NPI Number Information
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NPI Number | 1487664579
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Entity Type | Organization
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Legal Business Name | CARE PLUS III INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1103 EAST VILLA MARIA ROAD
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City | BRYAN
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State | TX
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Zip | 77802
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Country | US
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Telephone | 979-268-1407
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Fax | 979-846-1967
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Provider Business Mailing Address
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Address Line | 1103 EAST VILLA MARIA ROAD
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City | BRYAN
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State | TX
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Zip | 77802
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Country | US
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Telephone | 979-268-1407
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Fax | 979-846-1967
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JAMES B ARENTS
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Credential | DDS
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Telephone | 979-268-1407
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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 | TX 13579
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | TX 14013
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License Number State | TX
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