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General NPI Number Information
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NPI Number | 1144400342
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Entity Type | Organization
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Legal Business Name | DR. MARIA MONETTE REGALADO M.D.
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 10710 MCPHERSON RD SUITE #203
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City | LAREDO
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State | TX
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Zip | 78045-6271
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Country | US
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Telephone | 956-717-8600
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Fax | 956-725-8043
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Provider Business Mailing Address
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Address Line | PO BOX 452088
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City | LAREDO
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State | TX
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Zip | 78045-0051
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Country | US
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Telephone | 956-717-8600
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Fax | 956-725-8043
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | MRS. JANE MELISSA KUYKENDALL
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Credential |
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Telephone | 956-717-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | L3797
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License Number State | TX
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