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General NPI Number Information
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NPI Number | 1598920944
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Entity Type | Organization
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Legal Business Name | CESAR CRUZ, DDS P.A.
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 8500 W. MARKHAM ST. SUITE 331
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-224-3131
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Fax | 501-224-3132
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Provider Business Mailing Address
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Address Line | 808 N. CLEVELAND ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-224-3131
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Fax | 501-224-3132
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CEESAR O. CRUZ ZAMORA
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Credential | DDS
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Telephone | 501-224-3131
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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 | 3529
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License Number State | AR
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