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General NPI Number Information
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NPI Number | 1972052629
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Entity Type | Organization
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Legal Business Name | MEMORIAL MODERN DENTISTRY,PC
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 9355 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77024-1516
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Country | US
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Telephone | 713-300-7999
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Fax | 713-277-7307
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Provider Business Mailing Address
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Address Line | 17000 RED HILL AVE
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City | IRVINE
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State | CA
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Zip | 92614-5626
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Country | US
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Telephone | 714-845-8890
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Fax | 949-474-1495
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Authorized Official
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Title or Position | ADMIN
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Name | DR. JOHN S BARNES
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Credential | DDS
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Telephone | 713-300-7999
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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 |
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License Number State |
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