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General NPI Number Information
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NPI Number | 1013719178
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Entity Type | Individual
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Provider Name | FRANCISCO JAVIER RUIZ
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Gender | Male
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | GUTIERREZ 2807
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City | NUEVO LAREDO
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State | TAMAULIPAS
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Zip | 88000
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Country | MX
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Telephone | 956-284-9415
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 ROE DR
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City | LAREDO
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State | TX
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Zip | 78045-7181
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Country | US
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Telephone | 956-401-6251
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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 | 11794002
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License Number State | ZZ
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