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General NPI Number Information
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NPI Number | 1962201525
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Entity Type | Individual
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Provider Name | DANA MONTEJANO ABOC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1950 MCKINNEY ST
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City | MELISSA
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State | TX
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Zip | 75454-9957
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Country | US
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Telephone | 945-234-6959
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Fax | 945-234-6969
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Provider Business Mailing Address
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Address Line | 8801 OHIO DR
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City | PLANO
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State | TX
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Zip | 75024-2268
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Country | US
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Telephone | 972-731-9517
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Fax | 972-731-9596
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 261562
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License Number State | TX
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