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General NPI Number Information
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NPI Number | 1932257136
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Entity Type | Organization
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Legal Business Name | PECAN PLAZA DENTAL, P.A.
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Dates
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Enumeration Date | 01/07/2007
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 3400 LOMBARDY LANE SUITE 100
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City | DALLAS
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State | TX
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Zip | 75220-3315
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Country | US
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Telephone | 214-350-5333
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Fax | 214-350-8555
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Provider Business Mailing Address
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Address Line | PO BOX 7302
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City | DALLAS
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State | TX
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Zip | 75209-0302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT E. TAFEL
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Credential | D.D.S.
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Telephone | 214-420-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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