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General NPI Number Information
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NPI Number | 1467726711
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Entity Type | Individual
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Provider Name | RIGOBERTO CRUZ
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Gender | Male
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1607 E MCKINNEY ST 900
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City | DENTON
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State | TX
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Zip | 76209-4595
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Country | US
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Telephone | 940-808-0901
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Fax | 940-808-0928
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Provider Business Mailing Address
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Address Line | 1607 E MCKINNEY ST 900
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City | DENTON
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State | TX
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Zip | 76209-4595
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Country | US
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Telephone | 940-808-0901
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Fax | 940-808-0928
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State | TX
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