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General NPI Number Information
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NPI Number | 1144471616
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Entity Type | Organization
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Legal Business Name | RIO EMERGENCY PHYSICIANS PLLC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 3475 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-9277
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Country | US
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Telephone | 956-350-8167
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Fax |
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Provider Business Mailing Address
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Address Line | 3475 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-9277
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Country | US
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Telephone | 956-350-8167
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ZAHID ANSARI
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Credential |
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Telephone | 956-350-8167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State | TX
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