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General NPI Number Information
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NPI Number | 1497099733
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Entity Type | Organization
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Legal Business Name | SMS DENTAL MANAGEMENT, INC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 1414 ELDRIDGE PKWY
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City | HOUSTON
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State | TX
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Zip | 77077-1625
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Country | US
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Telephone | 832-243-4302
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Fax | 832-486-9528
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Provider Business Mailing Address
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Address Line | 1414 ELDRIDGE PKWY
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City | HOUSTON
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State | TX
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Zip | 77077-1625
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Country | US
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Telephone | 832-243-4302
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Fax | 832-486-9528
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Authorized Official
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Title or Position | CFO
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Name | ALI F KHAN
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Credential |
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Telephone | 713-502-6893
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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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Taxonomy #2
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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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