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General NPI Number Information
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NPI Number | 1740443753
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Entity Type | Organization
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Legal Business Name | RON ELMORE DDS
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 1389 WEST GULF BANK
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City | HOUSTON
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State | TX
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Zip | 77088
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Country | US
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Telephone | 281-591-0401
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Fax | 281-591-0185
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Provider Business Mailing Address
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Address Line | PO BOX 38578
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City | HOUSTON
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State | TX
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Zip | 77238
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Country | US
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Telephone | 281-591-0401
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Fax | 281-591-0185
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | RON ELMORE
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Credential | DDS
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Telephone | 281-591-0401
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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 | 12963
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License Number State | TX
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