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General NPI Number Information
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NPI Number | 1770869018
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Entity Type | Organization
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Legal Business Name | JUDITH JONES DDS PLLC
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 1801 S 5TH ST SUITE 112
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-682-1284
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Fax | 956-687-8373
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Provider Business Mailing Address
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Address Line | 1801 S 5TH ST SUITE 112
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-682-1284
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Fax | 956-687-8373
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ELMA MOYA-FONSECA
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Credential | RDA
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Telephone | 956-682-1284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 15380
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License Number State | TX
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