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General NPI Number Information
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NPI Number | 1548465610
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Entity Type | Individual
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Provider Name | HEAMO LEE KOO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2450 FONDREN RD STE 320
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City | HOUSTON
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State | TX
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Zip | 77063-2320
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Country | US
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Telephone | 713-783-3116
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Fax |
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Provider Business Mailing Address
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Address Line | 4324 OLEANDER ST
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City | BELLAIRE
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State | TX
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Zip | 77401-5227
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Country | US
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Telephone | 713-661-9472
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 19854
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License Number State | TX
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