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General NPI Number Information
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NPI Number | 1184879579
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Entity Type | Organization
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Legal Business Name | E. P. DENTISTRY 4 KIDS 1, PLLC
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1502 N ZARAGOZA RD
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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 | 915-855-4442
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Fax | 915-313-7960
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Provider Business Mailing Address
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Address Line | 1502 N ZARAGOZA RD
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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 | 915-855-4442
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Fax | 915-313-7960
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TERESA ZWICKY
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Credential |
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Telephone | 480-866-8811
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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 | 23711
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License Number State | TX
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