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General NPI Number Information
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NPI Number | 1558816835
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Entity Type | Organization
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Legal Business Name | LEON XAVIER FOREMAN DENTAL PLLC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 6121 HILLCROFT ST STE. P
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City | HOUSTON
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State | TX
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Zip | 77081-1002
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Country | US
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Telephone | 832-834-4242
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Fax | 713-271-9067
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Provider Business Mailing Address
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Address Line | 3300 S GESSNER RD 165B
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City | HOUSTON
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State | TX
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Zip | 77063-5100
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Country | US
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Telephone | 713-732-0706
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEON XAVIER FOREMAN
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Credential | DENTIST
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Telephone | 713-730-0706
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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 | 0021521
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License Number State | TX
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