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General NPI Number Information
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NPI Number | 1548688229
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Entity Type | Organization
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Legal Business Name | COVE CHOICE DENTAL
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 181 W BUSINESS 190 STE 400
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City | COPPERAS COVE
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State | TX
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Zip | 76522-3671
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Country | US
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Telephone | 512-826-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 4294 RIDGEBEND DR
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City | ROUND ROCK
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State | TX
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Zip | 78665-5008
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Country | US
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Telephone |
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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. DAOOD ALVI
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Credential | DDS
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Telephone | 512-826-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26114
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License Number State | TX
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