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General NPI Number Information
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NPI Number | 1871147827
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Entity Type | Organization
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Legal Business Name | RITE AWAY DENTAL SOLUTIONS LLC
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 615 FOXGLOVE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-3235
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Country | US
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Telephone | 832-787-2834
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 940872
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City | HOUSTON
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State | TX
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Zip | 77094-7872
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Country | US
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Telephone | 832-787-2834
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ABREANNA FORD
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Credential |
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Telephone | 832-787-2834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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