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General NPI Number Information
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NPI Number | 1356771323
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Entity Type | Organization
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Legal Business Name | RICARDO NEIRA DDS PLLC
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 601 N MCCOLL RD STE A
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City | MCALLEN
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State | TX
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Zip | 78501-9367
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Country | US
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Telephone | 956-600-7412
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Fax | 956-600-7085
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Provider Business Mailing Address
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Address Line | 1337 E PALMA VISTA DR STE D
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City | PALMVIEW
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State | TX
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Zip | 78572-2055
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Country | US
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Telephone | 956-600-7412
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Fax | 956-600-7085
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RICARDO A NEIRA
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Credential | D.D.S
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Telephone | 317-246-9544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 28589
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28589
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License Number State | TX
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