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NPI 1538277991

NPI 1538277991 : ANGELA JONES GRAY DDS : ROWLETT, TX

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General NPI Number Information
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    NPI Number           |    1538277991
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA JONES GRAY DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/27/2006
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    Last Update Date     |    04/13/2022
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Provider Practice Location Address
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    Address Line         |    8905 LAKEVIEW PARKWAY 
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    City                 |    ROWLETT
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    State                |    TX
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    Zip                  |    75088
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    Country              |    US
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    Telephone            |    214-948-3364
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    Fax                  |    214-948-1339
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Provider Business Mailing Address
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    Address Line         |    8700 IRON HORSE DR 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75063-3915
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    Country              |    US
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    Telephone            |    214-697-3038
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    21173
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    License Number State |    TX
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