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General NPI Number Information
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NPI Number | 1558744342
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Entity Type | Individual
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Provider Name | ISABELLA MEJIA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 6760 ABRAMS RD STE 201
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City | DALLAS
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State | TX
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Zip | 75231-0245
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Country | US
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Telephone | 469-890-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 BROOKSHIRE DR
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City | PLANO
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State | TX
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Zip | 75075-4713
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Country | US
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Telephone | 972-801-7618
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 31136
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License Number State | TX
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