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General NPI Number Information
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NPI Number | 1982819934
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Entity Type | Organization
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Legal Business Name | JOHN H. CUDE, DDS, PC
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 8222 DOUGLAS AVE STE 930
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City | DALLAS
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State | TX
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Zip | 75225-5981
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Country | US
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Telephone | 214-369-6216
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Fax | 214-369-6244
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Provider Business Mailing Address
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Address Line | 8222 DOUGLAS AVE STE 930
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City | DALLAS
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State | TX
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Zip | 75225-5981
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Country | US
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Telephone | 214-369-6216
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Fax | 214-369-6244
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN H CUDE
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Credential | D.D.S.
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Telephone | 214-369-6216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 9900
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License Number State | TX
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