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General NPI Number Information
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NPI Number | 1548584519
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Entity Type | Organization
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Legal Business Name | VELA SAENZ FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 1116 S 10TH AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5514
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Country | US
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Telephone | 956-627-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 S 10TH AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5514
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Country | US
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Telephone | 956-627-0760
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DEYANIRA VELA
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Credential | D.D.S.
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Telephone | 956-289-1242
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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 | 21770
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License Number State | TX
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