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General NPI Number Information
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NPI Number | 1699188896
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Entity Type | Individual
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Provider Name | AMBER DENISE O'CONNOR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 2305 CEDAR SPRINGS RD STE 110
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City | DALLAS
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State | TX
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Zip | 75201-7885
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Country | US
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Telephone | 214-969-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 HI LINE DR APT 342
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City | DALLAS
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State | TX
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Zip | 75207-3366
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Country | US
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Telephone | 817-269-6518
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29908
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License Number State | TX
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