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General NPI Number Information
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NPI Number | 1972880110
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Entity Type | Organization
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Legal Business Name | HOLMAN DENTAL, PLLC
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 8745 N LAMAR BLVD
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City | AUSTIN
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State | TX
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Zip | 78753-5423
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Country | US
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Telephone | 512-832-6395
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Fax | 512-276-6638
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Provider Business Mailing Address
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Address Line | 8745 N LAMAR BLVD
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City | AUSTIN
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State | TX
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Zip | 78753-5423
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Country | US
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Telephone | 512-832-6395
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Fax | 512-276-6638
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DUNG T DANG
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Credential | D.D.S
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Telephone | 512-973-8997
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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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