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General NPI Number Information
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NPI Number | 1053552612
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Entity Type | Organization
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Legal Business Name | MARIO DEL PINO MD, PA
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 110 E SAVANNAH AVE A-202
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City | MCALLEN
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State | TX
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Zip | 78503-1241
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Country | US
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Telephone | 956-631-8155
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Fax |
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Provider Business Mailing Address
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Address Line | 110 E SAVANNAH AVE A-202
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City | MCALLEN
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State | TX
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Zip | 78503-1241
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Country | US
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Telephone | 956-631-8155
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DINO M DEL PINO
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Credential | M.D.
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Telephone | 956-631-8155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | M0054
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License Number State | TX
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