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General NPI Number Information
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NPI Number | 1043793243
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Entity Type | Organization
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Legal Business Name | DDSPERIO, PLLC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 1313 N BELT LINE RD STE 101
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City | MESQUITE
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State | TX
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Zip | 75149-1784
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Country | US
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Telephone | 972-289-3330
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Fax | 972-289-3633
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Provider Business Mailing Address
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Address Line | 1313 N BELT LINE RD STE 101
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City | MESQUITE
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State | TX
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Zip | 75149-1784
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Country | US
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Telephone | 972-289-3330
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Fax | 972-289-3633
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Authorized Official
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Title or Position | OWNER
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Name | RASHID BEIRUTE-PRADA
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Credential | DDS
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Telephone | 972-289-3330
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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 |
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License Number State |
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