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General NPI Number Information
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NPI Number | 1669361390
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Entity Type | Individual
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Provider Name | PRISCILLA EDLYN PONCE MUNOZ DC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 7515 GREENVILLE AVE STE 801
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City | DALLAS
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State | TX
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Zip | 75231-3846
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Country | US
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Telephone | 214-368-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 4848 GRAND GATE WAY APT 2404
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City | FRISCO
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State | TX
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Zip | 75034-0191
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Country | US
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Telephone | 432-202-1820
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16283
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License Number State | TX
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