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General NPI Number Information
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NPI Number | 1023523172
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Entity Type | Individual
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Provider Name | MRS. ANA ELENA TIJERINA LOMELI
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Gender | Female
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 2501 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-686-8611
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Fax | 956-686-2668
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Provider Business Mailing Address
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Address Line | 2501 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-686-8611
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Fax | 956-686-2668
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 33620
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License Number State | TX
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