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General NPI Number Information
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NPI Number | 1497989727
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Entity Type | Individual
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Provider Name | CARIN DOMANN D.D.S., M.S.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 788 W SAM HOUSTON PKWY N SUITE #201
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City | HOUSTON
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State | TX
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Zip | 77024-3974
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Country | US
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Telephone | 713-465-3400
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Fax | 713-465-3401
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Provider Business Mailing Address
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Address Line | 788 W SAM HOUSTON PKWY N SUITE #201
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City | HOUSTON
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State | TX
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Zip | 77024-3974
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Country | US
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Telephone | 713-465-3400
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Fax | 713-465-3401
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 23517
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License Number State | TX
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