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General NPI Number Information
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NPI Number | 1073855698
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Entity Type | Individual
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Provider Name | NAOMI JANE D'ACOLATSE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 128 N FM 3167
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6211
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Country | US
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Telephone | 956-487-9025
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Fax | 956-487-4680
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | PHARR
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State | TX
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Zip | 78577-1614
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Country | US
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Telephone | 956-362-8383
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Fax | 956-362-8382
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | Q9143
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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 | Q9143
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License Number State | TX
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