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General NPI Number Information
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NPI Number | 1891884391
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Entity Type | Individual
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Provider Name | RICHARD LAMONTE PAGE D.M.D
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 3300 BEE CAVES RD 290
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6600
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Country | US
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Telephone | 512-327-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 BEE CAVES RD STE 290
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6660
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Country | US
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Telephone | 512-327-2131
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D3606
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 28977
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License Number State | TX
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