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General NPI Number Information
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NPI Number | 1851545818
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Entity Type | Individual
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Provider Name | ALICE LUAN DDS
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Gender | Female
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 1601 MAIN ST STE 307
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City | RICHMOND
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State | TX
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Zip | 77469-3230
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Country | US
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Telephone | 281-238-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 MAIN ST STE 307
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City | RICHMOND
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State | TX
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Zip | 77469-3230
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Country | US
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Telephone | 281-238-4746
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 22935
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22935
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License Number State | TX
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