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General NPI Number Information
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NPI Number | 1801178355
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Entity Type | Individual
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Provider Name | DREW DARSEY D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2011
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 9090 GAYLORD SUITE 103
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City | HOUSTON
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State | TX
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Zip | 77024-2947
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Country | US
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Telephone | 713-464-8905
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Fax | 731-461-7383
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Provider Business Mailing Address
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Address Line | 9090 GAYLORD SUITE 103
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City | HOUSTON
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State | TX
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Zip | 77024-2947
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Country | US
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Telephone | 713-464-8905
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Fax | 731-461-7383
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 25899
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License Number State | TX
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