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General NPI Number Information
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NPI Number | 1841126489
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Entity Type | Individual
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Provider Name | LEONARDO LOZANO
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Gender | Male
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 9040 DYER ST # 102
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City | EL PASO
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State | TX
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Zip | 79904-1406
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Country | US
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Telephone | 915-500-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 10945 NATHAN BAY DR
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City | EL PASO
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State | TX
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Zip | 79934-3129
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Country | US
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Telephone | 915-216-2491
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 28515
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License Number State | TX
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