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General NPI Number Information
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NPI Number | 1780867192
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Entity Type | Organization
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Legal Business Name | R. A. MCLENDON, DDS PLLC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 112 BAMMEL WESTFIELD RD
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City | HOUSTON
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State | TX
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Zip | 77090-3527
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Country | US
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Telephone | 281-587-4900
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Fax | 281-440-4285
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Provider Business Mailing Address
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Address Line | 112 BAMMEL WESTFIELD RD
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City | HOUSTON
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State | TX
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Zip | 77090-3527
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Country | US
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Telephone | 281-587-4900
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Fax | 281-440-4285
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND MCLENDON
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Credential | D.D.S.
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Telephone | 281-587-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12998
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License Number State | TX
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