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General NPI Number Information
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NPI Number | 1801271945
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Entity Type | Organization
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Legal Business Name | MAXILLOFACIAL AND ORAL SURGERY ASSOCIATES OF TEXAS
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 9250 PINECROFT DR
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City | SHENANDOAH
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State | TX
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Zip | 77380-3218
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Country | US
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Telephone | 713-897-2300
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Fax | 281-605-5319
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Provider Business Mailing Address
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Address Line | 10407 DUNBAR POINT CT
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City | SPRING
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State | TX
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Zip | 77379-8439
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Country | US
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Telephone | 832-660-5382
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Fax | 281-605-5319
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZAHID LALANI
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Credential | DDS, PHD, MBA
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Telephone | 832-660-5382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 21911
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License Number State | TX
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