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General NPI Number Information
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NPI Number | 1245574318
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Entity Type | Organization
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Legal Business Name | CLARA LUCIA NUNEZ-ROMERO, DDS PLLC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 2331 CROWNPOINT EXECUTIVE DR STE A
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City | CHARLOTTE
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State | NC
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Zip | 28227-7749
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Country | US
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Telephone | 704-705-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 CROWNPOINT EXECUTIVE DR STE A
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City | CHARLOTTE
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State | NC
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Zip | 28227-7749
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Country | US
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Telephone | 704-705-4744
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. CLARA LUCIA NUNEZ-ROMERO
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Credential | DDS
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Telephone | 704-497-5834
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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 | 9221
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9221
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License Number State | NC
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