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General NPI Number Information
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NPI Number | 1093010266
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Entity Type | Organization
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Legal Business Name | HARLINGEN SPINE & NEUROSURGICAL INSTITUTE
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 597 W SESAME DR SUITE D
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City | HARLINGEN
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State | TX
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Zip | 78550-8364
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Country | US
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Telephone | 956-425-3706
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Fax | 956-425-6731
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Provider Business Mailing Address
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Address Line | 597 W SESAME DR SUITE D
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City | HARLINGEN
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State | TX
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Zip | 78550-8364
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Country | US
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Telephone | 956-425-3706
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Fax | 956-425-6731
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. IVETTE MERCADO
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Credential |
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Telephone | 956-425-3706
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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 | L4341
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L2139
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License Number State | TX
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