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General NPI Number Information
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NPI Number | 1912314048
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Entity Type | Organization
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Legal Business Name | DANNY ORSAK DDS, PLLC
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 11049 FM 1960 RD W STE A
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City | HOUSTON
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State | TX
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Zip | 77065-4978
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Country | US
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Telephone | 281-469-4500
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Fax | 281-469-2114
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Provider Business Mailing Address
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Address Line | 11049 FM 1960 RD W STE A
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City | HOUSTON
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State | TX
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Zip | 77065-4978
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Country | US
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Telephone | 281-469-4500
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Fax | 281-469-2114
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Authorized Official
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Title or Position | DENTIST
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Name | DANNY O ORSAK
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Credential | DDS
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Telephone | 281-469-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 12876
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License Number State | TX
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