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General NPI Number Information
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NPI Number | 1760679146
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Entity Type | Individual
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Provider Name | PAUL MICHAEL MCLORNAN DDS MS PLLC
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Gender | Male
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | CLEAR CHOICE DENTAL IMPLANT CENTER 14100 SAN PEDRO, SUITE #110
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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 | 210-495-4569
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Fax | 210-495-5413
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Provider Business Mailing Address
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Address Line | CLEAR CHOICE DENTAL IMPLANT CENTER 14100 SAN PEDRO, SUITE #110
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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 | 210-495-4569
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Fax | 210-495-5413
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 23494
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License Number State | TX
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