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General NPI Number Information
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NPI Number | 1740721356
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Entity Type | Organization
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Legal Business Name | BPM ASSOCIATES
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 324 N BROOKS ST
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City | BRAZORIA
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State | TX
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Zip | 77422-8718
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Country | US
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Telephone | 979-798-9103
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Fax | 979-798-9109
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Provider Business Mailing Address
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Address Line | PO BOX 1235
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City | BRAZORIA
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State | TX
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Zip | 77422-1235
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Country | US
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Telephone | 979-798-9103
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Fax | 979-798-9109
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Authorized Official
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Title or Position | CFO
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Name | MR. CARY ZOLMAN
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Credential |
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Telephone | 979-798-9103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10723
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 10723
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 10723
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 10723
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 10723
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 10723
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10723
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 1223X0008X
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Taxonomy Name | Oral and Maxillofacial Radiology Dentistry
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License Number | 10723
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10723
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 125J00000X
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Taxonomy Name | Dental Therapist
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License Number | 10723
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 10723
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 10723
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10723
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License Number State | TX
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