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NPI 1790398345

NPI 1790398345 : SALMA HANEEF DDS : LANTANA, TX

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General NPI Number Information
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    NPI Number           |    1790398345
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    Entity Type          |    Individual 
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    Provider Name        |    SALMA HANEEF DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2020
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    Last Update Date     |    08/24/2020
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Provider Practice Location Address
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    Address Line         |    3501 FM 407 E STE 200 
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    City                 |    LANTANA
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    State                |    TX
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    Zip                  |    76226-9769
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    Country              |    US
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    Telephone            |    940-489-1660
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2020 HEMISON LN 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75056-3898
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    Country              |    US
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    Telephone            |    972-900-2074
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    36628
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    License Number State |    TX
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