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General NPI Number Information
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NPI Number | 1104365881
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Entity Type | Individual
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Provider Name | EULOGIO MUNOZ JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 06/09/2024
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Provider Practice Location Address
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Address Line | 11019 CULEBRA RD STE 160
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City | SAN ANTONIO
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State | TX
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Zip | 78253-4519
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Country | US
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Telephone | 210-824-2363
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Fax | 210-824-2365
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Provider Business Mailing Address
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Address Line | 1090 ARNOLD DR
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City | LITTLE ROCK AFB
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State | AR
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Zip | 72099-4933
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Country | US
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Telephone | 501-987-7304
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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 | 32231
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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 | 32231
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License Number State | TX
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