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General NPI Number Information
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NPI Number | 1881095131
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Entity Type | Organization
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Legal Business Name | ANGELIE V. ZAMORA, DDS
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 4001 LONG PRAIRIE RD STE 110
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1528
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Country | US
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Telephone | 972-346-1100
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Fax | 972-355-5411
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Provider Business Mailing Address
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Address Line | 3900 ARLINGTON HIGHLANDS BLVD STE 261
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City | ARLINGTON
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State | TX
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Zip | 76018-6040
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Country | US
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Telephone | 817-277-1971
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Fax | 817-274-3696
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGELIE VILLARAMA ZAMORA
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Credential | DDS
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Telephone | 972-444-9337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18945
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License Number State | TX
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