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General NPI Number Information
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NPI Number | 1134866049
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Entity Type | Individual
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Provider Name | DANIELLA ABRIL LIMON LAT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 3205 S DAKOTA AVE
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City | BROWNSVILLE
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State | TX
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Zip | 78521-6245
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Country | US
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Telephone | 956-371-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 805 HACKBERRY CT
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8319
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Country | US
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Telephone | 956-371-2278
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | AT5952
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT5952
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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