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General NPI Number Information
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NPI Number | 1780706721
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Entity Type | Organization
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Legal Business Name | DR. HAROLD K. HEUSZEL D.D.S. FAGD
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11326 WESTHEIMER RD STE B
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City | HOUSTON
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State | TX
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Zip | 77077-6866
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Country | US
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Telephone | 281-558-2792
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 HEATHWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77077-2617
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Country | US
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Telephone | 281-870-2548
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROLD KAISER HEUSZEL
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Credential | D.D.S
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Telephone | 281-558-2792
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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 | 13889
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License Number State | TX
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