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General NPI Number Information
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NPI Number | 1982043204
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Entity Type | Individual
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Provider Name | COURTNEY ALLYSON KASTENS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 22777 SPRINGWOODS VILLAGE PKWY # N2
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City | SPRING
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State | TX
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Zip | 77389-1425
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Country | US
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Telephone | 281-227-6453
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 CANDLELIGHT LN
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City | HOUSTON
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State | TX
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Zip | 77018-1821
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Country | US
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Telephone | 720-840-9026
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 34796
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License Number State | TX
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