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General NPI Number Information
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NPI Number | 1346494382
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Entity Type | Organization
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Legal Business Name | SERAPIO DE LA ROSA JR DDS & ASSOCIATES INC
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 985 S SAM HOUSTON BLVD
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City | SAN BENITO
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State | TX
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Zip | 78586-3064
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Country | US
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Telephone | 936-399-4312
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Fax | 956-399-9337
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Provider Business Mailing Address
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Address Line | 985 S SAM HOUSTON BLVD
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City | SAN BENITO
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State | TX
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Zip | 78586-3064
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Country | US
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Telephone | 936-399-4312
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Fax | 956-399-9337
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. SERAPIO DE LA ROSA JR.
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Credential | D.D.S.
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Telephone | 956-399-4312
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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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