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General NPI Number Information
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NPI Number | 1184064107
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Entity Type | Individual
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Provider Name | NEKER ESTEBAN BERNUY DDS
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Gender | Male
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 1455 AUSTIN HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78209-4455
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Country | US
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Telephone | 714-450-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 GRAND AVENUE PKWY APT 4208
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2080
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Country | US
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Telephone | 646-753-2164
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 28643
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License Number State | TX
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