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General NPI Number Information
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NPI Number | 1528293248
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Entity Type | Organization
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Legal Business Name | CAMPOS FAMILY DENTAL, P.C.
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 230 W BANDERA RD
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City | BOERNE
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State | TX
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Zip | 78006-2805
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Country | US
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Telephone | 830-816-5228
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Fax | 830-816-5113
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Provider Business Mailing Address
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Address Line | 230 W BANDERA RD
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City | BOERNE
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State | TX
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Zip | 78006-2805
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Country | US
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Telephone | 830-816-5228
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Fax | 830-816-5113
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VERONICA HINOJOSA
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Credential |
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Telephone | 830-816-5228
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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 | 16042
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License Number State | TX
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