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General NPI Number Information
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NPI Number | 1528281227
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Entity Type | Individual
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Provider Name | ANGEL LOPEZ JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 3131 N BOULEVARD STE B
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City | TAMPA
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State | FL
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Zip | 33603-5527
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Country | US
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Telephone | 813-229-7427
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Fax | 813-669-5478
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Provider Business Mailing Address
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Address Line | 3131 N BOULEVARD STE B
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City | TAMPA
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State | FL
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Zip | 33603-5527
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Country | US
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Telephone | 813-229-7427
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Fax | 813-669-7427
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN8702
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License Number State | FL
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