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General NPI Number Information
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NPI Number | 1770866907
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Entity Type | Individual
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Provider Name | ALMA VICTORIA CARDENAS D.O
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | HERMANOS ESCOBAR 3212
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City | JUAREZ
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State | CHIHUAHUA
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Zip | 32390
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Country | MX
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Telephone | 011526112006
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Fax |
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Provider Business Mailing Address
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Address Line | 6212 PAPAGO RD
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City | EL PASO
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State | TX
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Zip | 79905-2137
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Country | US
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Telephone | 915-235-3121
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 1492009
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License Number State | ZZ
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