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General NPI Number Information
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NPI Number | 1881251353
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Entity Type | Individual
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Provider Name | GINGER UNEGBU DDS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 7506 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77904-2654
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Country | US
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Telephone | 361-600-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 20210 BENTON SPRINGS LN
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City | RICHMOND
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State | TX
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Zip | 77407-2674
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 35217
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License Number State | TX
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