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General NPI Number Information
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NPI Number | 1891667101
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Entity Type | Organization
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Legal Business Name | CC APPLE DENTAL CENTER INC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1220 AIRLINE RD STE 210
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-3479
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Country | US
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Telephone | 361-993-9551
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Fax | 361-991-7887
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Provider Business Mailing Address
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Address Line | 1220 AIRLINE RD STE 210
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-3479
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Country | US
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Telephone | 361-993-9551
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Fax | 361-991-7887
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CATHY ANN MAHLKE
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Credential |
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Telephone | 361-993-9551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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