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General NPI Number Information
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NPI Number | 1932572211
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Entity Type | Organization
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Legal Business Name | ADAGIO DENTAL, PLLC
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 10424 IH 10 SUITE 300
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City | BAYTOWN
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State | TX
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Zip | 77523
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Country | US
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Telephone | 832-695-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 10424 IH 10 E SUITE 300
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City | BAYTOWN
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State | TX
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Zip | 77523
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Country | US
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Telephone | 832-895-3455
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. HELENE J SUH
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Credential | DDS
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Telephone | 832-695-3455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 25675
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 25872
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License Number State | TX
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