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General NPI Number Information
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NPI Number | 1770859464
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Entity Type | Organization
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Legal Business Name | CALTEX DENTAL
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 6073 HIGHWAY 6 N A
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City | HOUSTON
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State | TX
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Zip | 77084-7531
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Country | US
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Telephone | 281-345-2345
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Fax | 281-345-2344
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Provider Business Mailing Address
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Address Line | 6073 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-7531
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Country | US
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Telephone | 281-345-2345
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Fax | 281-345-2344
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Authorized Official
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Title or Position | CEO
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Name | PHUONG VO
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Credential | DDS
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Telephone | 281-345-2345
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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 | 21440
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License Number State | TX
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