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General NPI Number Information
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NPI Number | 1518232966
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Entity Type | Organization
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Legal Business Name | LIFE SMILES UNLIMITED, LP
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 20770 US HIGHWAY 281 N #110
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7519
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Country | US
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Telephone | 210-494-4455
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Fax | 210-496-1641
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Provider Business Mailing Address
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Address Line | 20770 US HIGHWAY 281 N #110
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7519
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Country | US
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Telephone | 210-494-4455
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Fax | 210-496-1641
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. MICHAEL P HILL
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Credential | DDS
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Telephone | 210-494-4455
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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 | 21394
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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 | 12018
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License Number State | TX
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