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General NPI Number Information
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NPI Number | 1629311071
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Entity Type | Organization
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Legal Business Name | ATASCOCITA FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 7058 FM 1960 RD E
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City | HUMBLE
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State | TX
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Zip | 77346-2704
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Country | US
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Telephone | 281-852-2288
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Fax | 281-852-0574
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Provider Business Mailing Address
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Address Line | 7058 FM 1960 RD E
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City | HUMBLE
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State | TX
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Zip | 77346-2704
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Country | US
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Telephone | 281-852-2288
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Fax | 281-852-0574
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RICK BRUCE HARRIS
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Credential | D.D.S
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Telephone | 281-852-2288
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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 | 14939
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License Number State | TX
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