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General NPI Number Information
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NPI Number | 1720581895
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Entity Type | Organization
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Legal Business Name | MAGNOLIA HEALTH CENTER
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 7037 CAPITOL
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City | HOUSTON
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State | TX
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Zip | 77011
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Country | US
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Telephone | 832-393-3380
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Fax | 832-393-5253
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Provider Business Mailing Address
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Address Line | 8000 N STADIUM 7TH FLOOR
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City | HOUSTON
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State | TX
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Zip | 77054
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Country | US
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Telephone | 832-393-4288
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Fax | 832-393-5253
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. THERESA TRAN CARAPUCCI
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Credential | MD
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Telephone | 832-393-4851
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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