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General NPI Number Information
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NPI Number | 1144225715
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Entity Type | Individual
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Provider Name | RUBEN DAVILA MARTINEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 1821 S SESAME SQ STE 5
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City | HARLINGEN
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State | TX
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Zip | 78550-7941
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Country | US
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Telephone | 956-423-9977
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Fax | 956-428-2777
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Provider Business Mailing Address
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Address Line | 1821 S SESAME SQ STE 5
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City | HARLINGEN
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State | TX
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Zip | 78550-7941
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Country | US
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Telephone | 956-423-9977
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Fax | 956-428-2777
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F1783
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License Number State | TX
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