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General NPI Number Information
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NPI Number | 1982321303
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Entity Type | Organization
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Legal Business Name | HOCKLEY DENTAL PLLC
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 17160 BECKER RD SUITE A
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City | HOCKLEY
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State | TX
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Zip | 77447
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Country | US
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Telephone | 346-800-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 17160 BECKER RD SUITE A
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City | HOCKLEY
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State | TX
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Zip | 77447
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Country | US
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Telephone | 346-800-7110
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | BENJAMIN TUINEI
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Credential |
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Telephone | 602-750-6897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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