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General NPI Number Information
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NPI Number | 1982858981
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Entity Type | Individual
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Provider Name | ENAYAT ERIC ASTANI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 2887 SOUTH RICHEY ST
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 832-831-5173
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Fax |
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Provider Business Mailing Address
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Address Line | 2887 S RICHEY ST
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City | HOUSTON
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State | TX
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Zip | 77017-7215
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Country | US
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Telephone | 832-831-5173
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 60907
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 26032
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License Number State | TX
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