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General NPI Number Information
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NPI Number | 1861375065
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Entity Type | Organization
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Legal Business Name | NORTH MEADOW DENTAL
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 11840 FM 1488 RD STE B1
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City | MAGNOLIA
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State | TX
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Zip | 77354
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Country | US
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Telephone | 281-766-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 11840 FM 1488 RD STE B1
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City | MAGNOLIA
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State | TX
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Zip | 77354
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Country | US
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Telephone | 832-294-9601
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KLOIE BURTON
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Credential | RDA
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Telephone | 281-766-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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