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General NPI Number Information
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NPI Number | 1255004958
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Entity Type | Individual
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Provider Name | MINDY C MONCONDUIT DDS
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 225 E RENFRO ST STE 109
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City | BURLESON
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State | TX
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Zip | 76028-3958
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Country | US
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Telephone | 817-717-9086
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Fax |
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Provider Business Mailing Address
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Address Line | 2737 BEN THOMAS ST
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City | BURLESON
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State | TX
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Zip | 76028-7172
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Country | US
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Telephone | 214-808-6473
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 37197
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License Number State | TX
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