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General NPI Number Information
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NPI Number | 1245576917
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Entity Type | Individual
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Provider Name | RICARDO A NEIRA DDS
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Gender | Male
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 601 S INTERNATIONAL BLVD STE A
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City | HIDALGO
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State | TX
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Zip | 78557-2933
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Country | US
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Telephone | 956-843-7776
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Fax | 956-843-7733
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Provider Business Mailing Address
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Address Line | 601 S INTERNATIONAL BLVD STE A
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City | HIDALGO
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State | TX
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Zip | 78557-2933
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Country | US
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Telephone | 956-843-7776
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Fax | 956-843-7733
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 28589
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 28589
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License Number State | TX
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