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General NPI Number Information
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NPI Number | 1154523231
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Entity Type | Individual
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Provider Name | PABLO ERNESTO SPLENSER MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1204 S 1ST ST
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City | LUFKIN
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State | TX
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Zip | 75901-4716
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Country | US
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Telephone | 936-229-3745
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Fax | 936-255-2052
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Provider Business Mailing Address
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Address Line | 901 WOODLAND DR
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City | LUFKIN
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State | TX
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Zip | 75904-4333
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Country | US
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Telephone | 936-639-1224
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M9025
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License Number State | TX
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