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General NPI Number Information
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NPI Number | 1134409972
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Entity Type | Individual
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Provider Name | VICTOR GARZA III R.N., MSN, NP-C
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Gender | Male
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 5110 N 10TH ST STE E
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City | MCALLEN
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State | TX
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Zip | 78504-2854
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Country | US
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Telephone | 956-631-4444
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Fax | 956-631-5478
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Provider Business Mailing Address
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Address Line | 4204 N EBONY DR
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City | PHARR
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State | TX
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Zip | 78577-7657
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Country | US
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Telephone | 956-225-6197
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 554476
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License Number State | TX
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