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General NPI Number Information
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NPI Number | 1740426659
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Entity Type | Organization
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Legal Business Name | G. STAN PREECE, DDS
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 4100 HERITAGE TRACE PKWY SUITE 100
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City | KELLER
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State | TX
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Zip | 76248-1306
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Country | US
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Telephone | 817-741-6100
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Fax | 817-741-3686
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Provider Business Mailing Address
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Address Line | 4100 HERITAGE TRACE PKWY SUITE 100
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City | KELLER
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State | TX
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Zip | 76248-1306
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Country | US
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Telephone | 817-741-6100
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Fax | 817-741-3686
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE STANLEY PREECE
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Credential | DDS
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Telephone | 817-741-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22241
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License Number State | TX
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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 | 17828
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License Number State | TX
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