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General NPI Number Information
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NPI Number | 1851102693
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Entity Type | Organization
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Legal Business Name | KLAVY USHEVA DMD
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 413 E PARKWOOD AVE
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5149
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Country | US
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Telephone | 281-482-7252
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Fax |
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Provider Business Mailing Address
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Address Line | 2615 WILLOW PARK LN
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3985
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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 DENTIST
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Name | DR. KLAVDIYA USHEVA
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Credential | DMD
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Telephone | 832-798-8298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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