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General NPI Number Information
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NPI Number | 1881696227
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Entity Type | Organization
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Legal Business Name | CHERYL P LOPEZ DO PA
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2097 N COLLINS BLVD STE 198
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City | RICHARDSON
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State | TX
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Zip | 75080-2684
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Country | US
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Telephone | 972-680-9983
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Fax | 972-680-9163
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Provider Business Mailing Address
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Address Line | 2097 N COLLINS BLVD STE 198
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City | RICHARDSON
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State | TX
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Zip | 75080-2684
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Country | US
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Telephone | 972-680-9983
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Fax | 972-680-9163
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERYL PAN LOPEZ
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Credential | DO
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Telephone | 214-618-7952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K0903
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License Number State | TX
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