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General NPI Number Information
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NPI Number | 1942668405
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Entity Type | Organization
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Legal Business Name | EADO FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 2240 NAVIGATION BLVD SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77003
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Country | US
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Telephone | 516-330-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 W DALLAS ST #230
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City | HOUSTON
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State | TX
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Zip | 77019-4386
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Country | US
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Telephone | 516-330-5131
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. BIANCA MARIE WILLIAMS
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Credential | D.D.S.
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Telephone | 516-330-5131
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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 | 29748
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License Number State | TX
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