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General NPI Number Information
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NPI Number | 1699419044
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Entity Type | Organization
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Legal Business Name | TREDINICK PLLC
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 1011 AUGUSTA DR STE 106
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City | HOUSTON
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State | TX
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Zip | 77057-2035
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Country | US
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Telephone | 832-878-6129
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Fax |
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Provider Business Mailing Address
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Address Line | 5355 FAIRDALE LN
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City | HOUSTON
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State | TX
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Zip | 77056-6630
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Country | US
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Telephone | 832-878-6129
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Fax |
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Authorized Official
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Title or Position | PERIODONTIST
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Name | DR. MARIE CLAIRE TREDINICK
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Credential | DDS MS
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Telephone | 832-878-6129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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