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General NPI Number Information
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NPI Number | 1467264077
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Entity Type | Organization
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Legal Business Name | ADAME DENTAL PLLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 22610 US HIGHWAY 281 N STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7562
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Country | US
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Telephone | 956-867-1585
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Fax |
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Provider Business Mailing Address
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Address Line | 227 GEDDINGTON
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City | SHAVANO PARK
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State | TX
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Zip | 78249-2064
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Country | US
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Telephone | 956-867-1585
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CORDELIA ADAME
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Credential |
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Telephone | 956-867-1585
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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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