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General NPI Number Information
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NPI Number | 1881053734
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Entity Type | Organization
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Legal Business Name | ADVANCED ENDODONTICS OF DFW
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Dates
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Enumeration Date | 02/21/2016
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 1674 KELLER PKWY #100
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City | KELLER
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State | TX
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Zip | 76248-3751
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Country | US
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Telephone | 817-562-4141
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Fax | 817-562-4190
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Provider Business Mailing Address
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Address Line | 1674 KELLER PKWY #100
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City | KELLER
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State | TX
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Zip | 76248-3751
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Country | US
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Telephone | 817-562-4141
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Fax | 817-562-4190
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Authorized Official
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Title or Position | OWNER / PARTNER
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Name | DR. SAYEED ATTAR
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Credential | D.D.S, M.S.
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Telephone | 817-562-4141
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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 | 22744
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 28322
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 24429
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License Number State | TX
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