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General NPI Number Information
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NPI Number | 1386510527
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Entity Type | Individual
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Provider Name | SELESTINA ROSARIO DMD
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 725 AIRPORT FWY
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City | HURST
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State | TX
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Zip | 76053-3974
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Country | US
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Telephone | 817-532-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 545 W ROYAL LN
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City | IRVING
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State | TX
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Zip | 75039-4225
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Country | US
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Telephone | 317-418-9052
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 41865
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License Number State | TX
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