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General NPI Number Information
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NPI Number | 1659933786
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Entity Type | Individual
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Provider Name | MAYRA KAREN JACKSON DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 6320 US 287 HWY STE 128
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City | ARLINGTON
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State | TX
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Zip | 76001-2868
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Country | US
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Telephone | 817-561-2161
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Fax |
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Provider Business Mailing Address
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Address Line | 1707 N HALL ST APT 320
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City | DALLAS
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State | TX
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Zip | 75204-4166
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Country | US
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Telephone |
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Fax |
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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 | 35336
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License Number State | TX
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