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General NPI Number Information
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NPI Number | 1003931155
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Entity Type | Organization
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Legal Business Name | MARIA T BONUEL-SILVERIO MD PA
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 145 UPTOWN AVE
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7559
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Country | US
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Telephone | 956-541-9191
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Fax | 956-541-9195
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Provider Business Mailing Address
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Address Line | 145 UPTOWN AVE
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7559
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Country | US
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Telephone | 956-541-9191
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Fax | 956-541-9195
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MISS LYDIA LOPEZ
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Credential |
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Telephone | 956-541-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K3104
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License Number State | TX
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