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General NPI Number Information
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NPI Number | 1316696099
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Entity Type | Organization
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Legal Business Name | TOOTHDAY AT N SALINAS BLVD, PLLC
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 309 N SALINAS BLVD
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City | DONNA
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State | TX
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Zip | 78537-2929
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Country | US
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Telephone | 956-461-2424
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Fax | 956-461-2495
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Provider Business Mailing Address
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Address Line | 309 N SALINAS BLVD
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City | DONNA
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State | TX
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Zip | 78537-2929
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Country | US
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Telephone | 956-461-2424
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Fax | 956-461-2495
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MRS. SHARON GARZA
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Credential |
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Telephone | 817-706-8189
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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 |
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License Number State |
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