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General NPI Number Information
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NPI Number | 1780542761
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Entity Type | Organization
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Legal Business Name | AMARILLO COSMETIC AND IMPLANT CENTER PLLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 4312 TECKLA BLVD # B
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City | AMARILLO
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State | TX
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Zip | 79109-5413
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Country | US
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Telephone | 806-359-1644
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 DURHAM AVE
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City | WOLFFORTH
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State | TX
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Zip | 79382-2243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | OMAR HARMOUCHE
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Credential | DMD
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Telephone | 832-643-2174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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