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General NPI Number Information
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NPI Number | 1508130063
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Entity Type | Organization
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Legal Business Name | ZOMAX INC, DBA: PRECIOUS DENTISTRY
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 1919 S SHILOH RD STE 400
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City | GARLAND
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State | TX
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Zip | 75042-8211
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Country | US
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Telephone | 469-326-0326
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Fax | 469-326-0328
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Provider Business Mailing Address
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Address Line | 1919 S SHILOH RD STE 400
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City | GARLAND
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State | TX
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Zip | 75042-8211
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Country | US
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Telephone | 469-326-0326
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Fax | 469-326-0328
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Authorized Official
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Title or Position | MANAGER
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Name | KRIS ENEMO
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Credential |
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Telephone | 469-326-0326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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