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General NPI Number Information
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NPI Number | 1568878312
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Entity Type | Individual
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Provider Name | JEEMA DAD D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 5961 DALLAS PKWY STE 600
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City | PLANO
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State | TX
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Zip | 75093-8519
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Country | US
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Telephone | 972-535-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 651 CROSS TIMBERS RD STE 103
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1300
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Country | US
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Telephone | 972-436-1513
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30177
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License Number State | TX
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