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General NPI Number Information
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NPI Number | 1043302334
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Entity Type | Organization
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Legal Business Name | JAVIER MEDINA MD PA
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 1924 E GRIFFIN PARKWAY
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City | MISSION
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State | TX
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Zip | 78572-3106
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Country | US
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Telephone | 956-581-5100
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Fax | 956-581-8608
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Provider Business Mailing Address
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Address Line | PO BOX 5909
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City | MCALLEN
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State | TX
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Zip | 78502-5909
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Country | US
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Telephone | 956-581-5100
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Fax | 956-581-8608
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. ADALIA SAENZ
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Credential |
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Telephone | 956-581-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J7088
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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