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General NPI Number Information
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NPI Number | 1043236763
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Entity Type | Individual
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Provider Name | EDUARDO FRANCISCO LIMONTA MPAS/PHD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 690 S LOOP 336 W STE 300
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City | CONROE
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State | TX
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Zip | 77304-3320
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Country | US
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Telephone | 936-522-4000
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Fax | 936-522-4020
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Provider Business Mailing Address
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Address Line | 364 OLD AQUA LANDING WEST
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City | MONTGOMERY
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State | TX
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Zip | 77356
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Country | US
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Telephone | 912-230-2080
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 2994
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License Number State | FL
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