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General NPI Number Information
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NPI Number | 1619328218
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Entity Type | Organization
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Legal Business Name | POPE PEDIATRIC DENTISTRY PLLC
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 5124 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-2834
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Country | US
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Telephone | 956-630-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 5124 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-2834
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Country | US
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Telephone | 956-630-6026
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BILL D POPE JR.
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Credential | DDS
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Telephone | 956-630-6026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 16867
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License Number State | TX
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