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General NPI Number Information
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NPI Number | 1932333929
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Entity Type | Organization
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Legal Business Name | TOTO DENTAL P.A
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 8388 W SAM HOUSTON PKWY S
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City | HOUSTON
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State | TX
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Zip | 77072-5079
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Country | US
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Telephone | 281-568-5124
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Fax | 281-568-5129
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Provider Business Mailing Address
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Address Line | 8388 W. SAM HOUSTON PARKWAY
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City | HOUSTON
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State | TX
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Zip | 77072
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Country | US
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Telephone | 281-568-5124
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Fax | 281-568-5129
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HAIKHANH TR
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Credential | DDS
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Telephone | 281-568-5124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 21483
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 21483
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License Number State | TX
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