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General NPI Number Information
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NPI Number | 1336879881
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Entity Type | Individual
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Provider Name | MONICA CERVANTES DPM
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 420 E 6TH ST STE 104
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City | ODESSA
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State | TX
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Zip | 79761-4537
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Country | US
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Telephone | 432-614-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 8135 FOREST LN # 515057
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City | DALLAS
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State | TX
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Zip | 75230-2472
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Country | US
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Telephone | 469-850-5760
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 692251
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License Number State | TX
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