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General NPI Number Information
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NPI Number | 1568196913
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Entity Type | Individual
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Provider Name | KELLY HAN DINH DDS
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 24441 KATY FWY STE 200
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City | KATY
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State | TX
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Zip | 77494-1429
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Country | US
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Telephone | 281-394-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 519 CRESTWATER CT
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City | HOUSTON
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State | TX
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Zip | 77082-1517
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Country | US
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Telephone | 281-716-2152
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 38724
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License Number State | TX
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