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General NPI Number Information
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NPI Number | 1104956119
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Entity Type | Individual
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Provider Name | DILEEP VIJAY MENON M.D
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 101 N FM 3167 STE 104
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6776
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Country | US
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Telephone | 956-352-1431
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Fax | 956-352-1436
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Provider Business Mailing Address
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Address Line | PO BOX 4449
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City | MCALLEN
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State | TX
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Zip | 78502-4449
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Country | US
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Telephone | 563-623-5214
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Fax | 956-362-3521
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M3018
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M3018
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | M3018
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License Number State | TX
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