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General NPI Number Information
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NPI Number | 1508980269
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Entity Type | Individual
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Provider Name | JOHN ROBERT LUDINGTON JR. D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6516 JOHN FREEMAN ST SUITE 202
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City | HOUSTON
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State | TX
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Zip | 77030-3402
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Country | US
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Telephone | 713-500-4227
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Fax | 713-500-0402
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Provider Business Mailing Address
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Address Line | 1423 BEACHCOMBER LN
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City | HOUSTON
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State | TX
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Zip | 77062-5404
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Country | US
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Telephone | 281-480-2553
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Fax | 281-480-2553
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 13480
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License Number State | TX
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