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General NPI Number Information
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NPI Number | 1124816152
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Entity Type | Organization
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Legal Business Name | 1550 ZARAGOZA RD PLLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1550 N ZARAGOZA RD STE A101
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City | EL PASO
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State | TX
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Zip | 79936-7905
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Country | US
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Telephone | 915-490-8698
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Fax |
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Provider Business Mailing Address
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Address Line | 10510 MONTWOOD DR STE B
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City | EL PASO
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State | TX
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Zip | 79935-2717
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Country | US
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Telephone | 915-219-4713
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Fax | 915-206-5880
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Authorized Official
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Title or Position | BILLING OPERATIONS
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Name | CASIE GARCIA
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Credential |
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Telephone | 575-626-6118
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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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