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General NPI Number Information
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NPI Number | 1902451370
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Entity Type | Organization
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Legal Business Name | CUTE SMILES 4 KIDS OF WEST SAN ANTONIO, LLC
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 9139 WESTOVER HILLS BLVD STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2885
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Country | US
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Telephone | 210-435-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 823 BANDERA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78228-5227
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Country | US
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Telephone | 480-258-1876
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MRS. SHERRY M SCOTT
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Credential | MBA
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Telephone | 480-258-1876
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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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