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General NPI Number Information
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NPI Number | 1942511993
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Entity Type | Organization
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Legal Business Name | EMILY GRAHAM DDS
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 21301 KUYKENDAHL RD SUITE D
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City | SPRING
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State | TX
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Zip | 77379-2611
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Country | US
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Telephone | 281-351-2090
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Fax | 281-516-7950
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Provider Business Mailing Address
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Address Line | 21301 KUYKENDAHL RD SUITE D
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City | SPRING
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State | TX
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Zip | 77379-2611
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Country | US
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Telephone | 281-351-2090
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Fax | 281-516-7950
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Authorized Official
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Title or Position | SCHEDULING COORDINATOR
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Name | JULIE ROWELL
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Credential |
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Telephone | 281-351-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 17024
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License Number State | TX
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