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General NPI Number Information
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NPI Number | 1871996025
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Entity Type | Organization
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Legal Business Name | CARUS DENTAL
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 511 LAKE RD SUITE 107
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City | BELTON
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State | TX
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Zip | 76513-1403
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Country | US
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Telephone | 254-933-3993
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Fax | 254-933-2757
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Provider Business Mailing Address
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Address Line | 511 LAKE RD SUITE 107
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City | BELTON
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State | TX
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Zip | 76513-1403
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Country | US
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Telephone | 254-933-3993
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Fax | 254-933-2757
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. RASHMI KURIAN
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Credential | DDS
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Telephone | 254-933-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30478
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License Number State | TX
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