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General NPI Number Information
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NPI Number | 1144327651
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Entity Type | Organization
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Legal Business Name | PALMIRA TESTA DDS PA
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 2202 WAUGH DR.
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City | HOUSTON
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State | TX
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Zip | 77006-1118
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Country | US
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Telephone | 713-521-3131
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Fax | 713-521-1222
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Provider Business Mailing Address
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Address Line | 2202 WAUGH DR.
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City | HOUSTON
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State | TX
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Zip | 77006-1118
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Country | US
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Telephone | 713-521-3131
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Fax | 713-521-1222
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. PALMIRA ROSA TESTA
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Credential | DDS
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Telephone | 713-521-3131
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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 | 17997
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License Number State | TX
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