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General NPI Number Information
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NPI Number | 1154412260
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Entity Type | Organization
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Legal Business Name | LIDIA LEMARROY
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 2605 BOCA CHICA BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2311
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Country | US
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Telephone | 956-542-0333
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Fax | 956-986-2175
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Provider Business Mailing Address
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Address Line | 309 S TEXAS BLVD
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City | WESLACO
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State | TX
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Zip | 78596-6113
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Country | US
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Telephone | 956-969-1323
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Fax | 956-968-8803
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Authorized Official
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Title or Position | OWNER
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Name | LIDIA LEMARROY
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Credential | CERTIFIED PEDORTHIST
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Telephone | 956-969-1323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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