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General NPI Number Information
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NPI Number | 1346658408
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Entity Type | Individual
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Provider Name | ZARA Y NENSEY D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1125 W FM 544 STE 50
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City | WYLIE
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State | TX
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Zip | 75098-4965
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Country | US
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Telephone | 973-734-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 8501 GLENEAGLES CT
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City | MCKINNEY
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State | TX
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Zip | 75072-8408
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Country | US
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Telephone | 813-951-5275
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 40941
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21117
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21117
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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