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General NPI Number Information
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NPI Number | 1063726198
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Entity Type | Individual
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Provider Name | PAULA ANDREA MENDEZ MONTALVO DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 16545 S.W FWY STE 270
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City | SUGARLAND
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State | TX
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Zip | 77479
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Country | US
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Telephone | 713-234-7800
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Fax | 713-234-7202
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Provider Business Mailing Address
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Address Line | 16545 S.W FWY STE 270
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City | SUGARLAND
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State | TX
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Zip | 77479
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Country | US
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Telephone | 713-234-7800
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Fax | 713-234-7202
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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 | 25824
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 25824
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License Number State | TX
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