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General NPI Number Information
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NPI Number | 1952581456
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Entity Type | Individual
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Provider Name | DANIELA A ZAMBON DDS MS
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Gender | Female
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 1757 BROAD PARK CIRCLE NORTH SUITE 301
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 817-453-7766
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Fax | 817-887-5625
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Provider Business Mailing Address
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Address Line | 1757 BROAD PARK CIRCLE NORTH SUITE 301
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City | MANSFIELD
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State | TX
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Zip | 76063
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Country | US
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Telephone | 817-453-7766
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Fax | 817-887-5625
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 23438
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License Number State | TX
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