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General NPI Number Information
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NPI Number | 1942627807
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Entity Type | Organization
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Legal Business Name | NEWGEN DENTAL
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 6725 S FRY RD SUITE 600
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City | KATY
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State | TX
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Zip | 77494-8102
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Country | US
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Telephone | 281-769-7466
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Fax | 281-394-5043
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Provider Business Mailing Address
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Address Line | 6725 S. FRY RD SUITE 600
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 281-769-7466
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Fax | 281-394-5043
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Authorized Official
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Title or Position | DDS
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Name | DR. SHILPA KHULLAR
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Credential |
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Telephone | 281-769-7466
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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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