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General NPI Number Information
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NPI Number | 1588046932
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Entity Type | Individual
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Provider Name | WALKIRIA RIVERA JONES D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 100 CARLIN RD
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City | MANSFIELD
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State | TX
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Zip | 76063-3454
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Country | US
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Telephone | 817-473-0291
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Fax | 682-518-1190
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Provider Business Mailing Address
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Address Line | 100 CARLIN RD
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City | MANSFIELD
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State | TX
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Zip | 76063-3454
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Country | US
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Telephone | 817-473-0291
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Fax | 682-518-1190
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31035
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License Number State | TX
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