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General NPI Number Information
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NPI Number | 1639502644
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Entity Type | Organization
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Legal Business Name | CRAVEN AND PLUMMER, INC.
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 5230 GRIGGS RD
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City | HOUSTON
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State | TX
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Zip | 77021-3760
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Country | US
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Telephone | 713-454-5017
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 CRAWFORD ST SUITE 302
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City | HOUSTON
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State | TX
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Zip | 77002-8942
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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 | PRESIDENT
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Name | MATTHEW W. PLUMMER JR.
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Credential | DDS
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Telephone | 713-757-0033
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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 | 16920
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10664
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License Number State | TX
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