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General NPI Number Information
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NPI Number | 1104542984
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Entity Type | Organization
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Legal Business Name | DGUEZ SOLUTION
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1000 RANCHWAY DR APT 3
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City | LAREDO
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State | TX
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Zip | 78045-6372
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Country | US
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Telephone | 956-480-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 GUADALUPE ST
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City | LAREDO
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State | TX
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Zip | 78040-5304
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Country | US
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Telephone | 956-480-7893
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EZEQUIUEL DOMINGUEZ BAUTISTA
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Credential |
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Telephone | 956-480-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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