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General NPI Number Information
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NPI Number | 1760522098
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Entity Type | Organization
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Legal Business Name | JF LOPEZ DDS, MD, RPH, PA
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 1770 SAINT JAMES PL SUITE 512
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City | HOUSTON
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State | TX
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Zip | 77056-3471
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Country | US
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Telephone | 713-622-8607
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Fax |
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Provider Business Mailing Address
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Address Line | 1770 SAINT JAMES PL SUITE 512
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City | HOUSTON
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State | TX
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Zip | 77056-3471
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Country | US
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Telephone | 713-622-8607
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE F LOPEZ
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Credential | DDS, MD
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Telephone | 713-622-8607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 19857
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License Number State | TX
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