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General NPI Number Information
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NPI Number | 1659631133
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Entity Type | Organization
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Legal Business Name | LONE STAR CHILDRENS DENTISTRY PLLC
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 7517 CAMERON RD STE 106
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City | AUSTIN
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State | TX
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Zip | 78752-2057
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Country | US
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Telephone | 512-417-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 LONE TREE DR
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City | MANOR
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State | TX
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Zip | 78653-4843
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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, MEMBER
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Name | DR. DON HARTSFIELD
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Credential | DDS
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Telephone | 512-471-9101
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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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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