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General NPI Number Information
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NPI Number | 1932404258
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Entity Type | Organization
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Legal Business Name | SONY C MARKOSE D.D.S., P.C
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 2155 MARSH LN SUITE 110
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City | CARROLLTON
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State | TX
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Zip | 75006-4970
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Country | US
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Telephone | 972-695-6037
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Fax |
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Provider Business Mailing Address
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Address Line | 2155 MARSH LN SUITE 110
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City | CARROLLTON
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State | TX
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Zip | 75006-4970
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Country | US
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Telephone | 972-695-6037
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SONY C MARKOSE
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Credential | D.D.S., M.S.D
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Telephone | 973-820-8455
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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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