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NPI 1528511847

NPI 1528511847 : HELDER BALDI JACOB D.D.S., M.SC., PH.D. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1528511847
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    Entity Type          |    Individual 
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    Provider Name        |    HELDER BALDI JACOB D.D.S., M.SC., PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/03/2016
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    Last Update Date     |    08/03/2016
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Provider Practice Location Address
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    Address Line         |    7500 CAMBRIDGE ST STE 5130
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77054-2032
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    Country              |    US
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    Telephone            |    713-486-4219
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    Fax                  |    713-486-4123
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Provider Business Mailing Address
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    Address Line         |    7500 CAMBRIDGE ST STE 5130
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77054-2032
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    Country              |    US
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    Telephone            |    713-486-4219
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    Fax                  |    713-486-4123
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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       |    27729
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    License Number State |    TX
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