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General NPI Number Information
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NPI Number | 1962968081
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Entity Type | Organization
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Legal Business Name | KIMBERLY MEZERA MD PLLC
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 9301 N CENTRAL EXPY STE 300
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City | DALLAS
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State | TX
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Zip | 75231-0804
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Country | US
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Telephone | 214-347-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 N CENTRAL EXPY STE 300
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City | DALLAS
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State | TX
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Zip | 75231-0804
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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 | OWNER
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Name | KIMBERLY MEZERA
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Credential | MD
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Telephone | 214-347-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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