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General NPI Number Information
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NPI Number | 1528520863
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Entity Type | Organization
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Legal Business Name | LAURA G TAIMAN DDS PLLC
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 17000 PRESTON RD STE 480
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City | DALLAS
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State | TX
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Zip | 75248-1224
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Country | US
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Telephone | 469-577-1587
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Fax | 469-577-1585
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Provider Business Mailing Address
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Address Line | 6139 MEADOW RD
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City | DALLAS
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State | TX
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Zip | 75230-5058
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Country | US
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Telephone | 469-776-5912
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Fax |
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. LAURA GIULIANA TAIMAN
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Credential | DMD
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Telephone | 469-577-1587
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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 |
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License Number State |
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