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General NPI Number Information
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NPI Number | 1669821740
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Entity Type | Organization
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Legal Business Name | GEORGE SHINEY, DDS, PLLC
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 5444 FM 423 STE. 600
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City | FRISCO
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State | TX
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Zip | 75034-7175
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Country | US
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Telephone | 214-308-5359
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Fax |
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Provider Business Mailing Address
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Address Line | 5444 FM 423 STE. 600
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City | FRISCO
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State | TX
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Zip | 75034-7175
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Country | US
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Telephone | 214-308-5359
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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. SHINEY GEORGE
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Credential | DDS
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Telephone | 863-398-0624
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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 | 28729
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License Number State | TX
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