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General NPI Number Information
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NPI Number | 1629244579
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Entity Type | Organization
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Legal Business Name | ALFONSO MONARRES DDS MS PA
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 115 N LOOP 1604 E SUITE 2209
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City | SAN ANTONIO
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State | TX
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Zip | 78232
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Country | US
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Telephone | 210-403-0042
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Fax | 210-403-0979
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Provider Business Mailing Address
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Address Line | 115 N LOOP 1604 E SUITE 2209
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City | SAN ANTONIO
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State | TX
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Zip | 78232
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Country | US
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Telephone | 210-403-0042
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Fax | 210-403-0979
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALFONSO MONARRES
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Credential | DDS MS
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Telephone | 210-403-0042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 21220
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License Number State | TX
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