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General NPI Number Information
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NPI Number | 1801678727
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Entity Type | Organization
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Legal Business Name | RISE DENTISTRY PLLC SERIES A RS
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 8412 KATY FWY STE 330
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City | HOUSTON
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State | TX
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Zip | 77024-1951
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Country | US
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Telephone | 281-857-6389
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PIN OAK RD STE 100A
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City | KATY
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State | TX
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Zip | 77494-6356
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HASAAN SORATHIA
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Credential | DMD
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Telephone | 281-857-6389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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