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General NPI Number Information
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NPI Number | 1134635493
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Entity Type | Organization
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Legal Business Name | VELERO DENTAL, PLLC
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Dates
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Enumeration Date | 12/22/2017
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 1700 CEDAR SPRINGS RD APT 1511
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City | DALLAS
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State | TX
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Zip | 75202-1216
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Country | US
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Telephone | 916-897-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 CEDAR SPRINGS RD APT 1511
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City | DALLAS
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State | TX
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Zip | 75202-1216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER DANSA
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Credential |
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Telephone | 916-897-6682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28781
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License Number State | TX
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