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General NPI Number Information
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NPI Number | 1841709367
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Entity Type | Organization
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Legal Business Name | CHAM DENTAL CLINIC
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2656 S LOOP W STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2798
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Country | US
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Telephone | 346-718-2188
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Fax | 346-718-2174
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Provider Business Mailing Address
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Address Line | 2656 S LOOP W STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2798
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Country | US
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Telephone | 346-718-2188
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Fax | 346-718-2174
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Authorized Official
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Title or Position | OWNER
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Name | DR. NADA ALSAWAF
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Credential | DDS, MS
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Telephone | 346-718-2188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 20809
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License Number State | TX
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