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General NPI Number Information
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NPI Number | 1083875454
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Entity Type | Organization
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Legal Business Name | ALBERTO A PENA MDPA
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 2821 MICHAEL ANGELO SUITE 401
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City | EDINBURG
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State | TX
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Zip | 78539-1404
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Country | US
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Telephone | 956-682-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 2821 MICHAEL ANGELO STE 401
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City | EDINBURG
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State | TX
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Zip | 78539-1404
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Country | US
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Telephone | 956-682-8700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERTO ANTONIO PENA
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Credential | MD
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Telephone | 956-682-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M2444
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | M2444
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License Number State | TX
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