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General NPI Number Information
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NPI Number | 1083150924
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Entity Type | Individual
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Provider Name | ANTHONY REGINALD J CAUBA
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Gender | Male
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 416 LINDBERG AVE SUITE A
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City | MCALLEN
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State | TX
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Zip | 78501-2922
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Country | US
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Telephone | 956-630-4161
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Fax | 956-664-7989
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Provider Business Mailing Address
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Address Line | 3009 VIOLET AVE
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City | MCALLEN
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State | TX
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Zip | 78504-5292
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Country | US
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Telephone | 956-627-6354
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP132613
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License Number State | TX
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