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General NPI Number Information
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NPI Number | 1568844736
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Entity Type | Organization
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Legal Business Name | MERCY DENTAL PLLC
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 1905 E MONTE CRISTO RD SUITE A
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-270-4605
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Fax |
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Provider Business Mailing Address
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Address Line | P.O BOX 5731
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City | MCALLEN
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State | TX
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Zip | 78502
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Country | US
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Telephone | 956-270-4506
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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 | DR. DORIS DOLEYRES
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Credential |
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Telephone | 305-316-1013
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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 | 28362
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License Number State | TX
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