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General NPI Number Information
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NPI Number | 1881377547
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Entity Type | Individual
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Provider Name | VICTOR MANUEL MONCADA DDS,MS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 2450 E PROSPER TRL STE 30
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City | PROSPER
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State | TX
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Zip | 75078-9286
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Country | US
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Telephone | 972-347-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 PRAIRE PL
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 316-558-0600
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 39911
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License Number State | TX
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