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General NPI Number Information
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NPI Number | 1679889125
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Entity Type | Individual
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Provider Name | BENJAMIN CREED D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2010
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Last Update Date | 08/28/2011
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Provider Practice Location Address
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Address Line | 26281 NORTHWEST FWY SUITE 900
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City | CYPRESS
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State | TX
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Zip | 77429-7802
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Country | US
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Telephone | 281-256-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 26281 NORTHWEST FWY SUITE 900
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City | CYPRESS
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State | TX
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Zip | 77429-7802
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Country | US
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Telephone | 281-256-3838
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22827
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License Number State | TX
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