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General NPI Number Information
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NPI Number | 1063693547
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Entity Type | Individual
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Provider Name | JULIO E ASTACIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 01/02/2016
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Provider Practice Location Address
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Address Line | 1801 S 5TH ST STE 130
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City | MCALLEN
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State | TX
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Zip | 78503-2915
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Country | US
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Telephone | 956-687-7863
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Fax | 956-687-6405
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Provider Business Mailing Address
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Address Line | 9009 N FM 620 APT 2006
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City | AUSTIN
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State | TX
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Zip | 78726-4226
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Country | US
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Telephone | 956-607-6059
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G2309
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License Number State | TX
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