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General NPI Number Information
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NPI Number | 1619251600
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Entity Type | Organization
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Legal Business Name | T & L DENTAL PROFESSION
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Dates
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Enumeration Date | 10/08/2011
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Last Update Date | 10/08/2011
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Provider Practice Location Address
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Address Line | 920 STUDEMONT ST SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77007-5983
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Country | US
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Telephone | 713-869-0600
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Fax | 713-869-1991
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Provider Business Mailing Address
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Address Line | 920 STUDEMONT ST SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77007-5983
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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 | OWNER
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Name | DR. CHIA-LUNG TIM HUNG
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Credential | DDS
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Telephone | 713-869-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 22011
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License Number State | TX
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