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General NPI Number Information
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NPI Number | 1518262112
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Entity Type | Organization
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Legal Business Name | JOHN D SMITH DDS & JOSEPH J CHEN DDS INC
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 11455 FALLBROOK DR STE 302
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City | HOUSTON
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State | TX
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Zip | 77065-4268
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Country | US
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Telephone | 281-890-1158
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Fax | 281-890-0710
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Provider Business Mailing Address
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Address Line | 11455 FALLBROOK DR STE 302
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City | HOUSTON
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State | TX
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Zip | 77065-4268
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Country | US
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Telephone | 281-890-1158
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Fax | 281-890-0710
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH J. CHEN
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Credential | D.D.S.
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Telephone | 281-890-1158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 11886
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12241
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 21567
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License Number State | TX
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