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General NPI Number Information
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NPI Number | 1811248354
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Entity Type | Organization
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Legal Business Name | DREW M DARSEY DDS PA
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 9090 GAYLORD DR STE 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 |
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Provider Business Mailing Address
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Address Line | 9090 GAYLORD DR STE 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 |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DREW DARSEY
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Credential | D.D.S., M.S.D.
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Telephone | 713-464-8905
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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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