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General NPI Number Information
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NPI Number | 1568901957
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Entity Type | Organization
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Legal Business Name | OFELIA PEREZ HERNANDEZ DDS PLLC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 8360 W. EXPY 83
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-581-5265
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Fax | 956-581-5299
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Provider Business Mailing Address
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Address Line | PO BOX 3749
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City | MISSION
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State | TX
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Zip | 78573
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Country | US
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Telephone | 402-321-3632
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Fax | 956-581-5299
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Authorized Official
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Title or Position | OWNER
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Name | OFELIA P HERNANDEZ
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Credential | DDS
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Telephone | 956-581-5265
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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 | 28024
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License Number State | TX
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