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NPI 1518592005

NPI 1518592005 : FERRARI ORTHODONTICS PLLC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1518592005
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    Entity Type          |    Organization 
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    Legal Business Name  |    FERRARI ORTHODONTICS PLLC 
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Dates
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    Enumeration Date     |    03/05/2020
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    Last Update Date     |    08/13/2023
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Provider Practice Location Address
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    Address Line         |    6465 E MOCKINGBIRD LN STE 371 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75214-2454
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    Country              |    US
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    Telephone            |    214-919-0803
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1921 N PRESTON RD 
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    City                 |    PROPER
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    State                |    TX
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    Zip                  |    75078
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CAL  MARTIN 
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    Credential           |    
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    Telephone            |    214-919-0803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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