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General NPI Number Information
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NPI Number | 1568283463
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 7500 CAMBRIDGE ST UTHEALTH SCHOOL OF DENTISTRY SUITE 3410
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City | HOUSTON
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State | TX
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Zip | 77054
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Country | US
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Telephone | 713-500-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 CAMBRIDGE ST. SUITE 5301
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City | HOUSTON
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State | TX
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Zip | 77054
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Country | US
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Telephone | 713-486-4147
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER
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Name | MRS. ADRIANA C. CAVENDER
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Credential | BS, RDA
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Telephone | 713-486-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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