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General NPI Number Information
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NPI Number | 1164229449
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Entity Type | Organization
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Legal Business Name | BUENA VIDA Y SALUD LLC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 2202 S 77 SUNSHINE STRIP, SUITE H
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-412-3235
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Fax | 956-440-1413
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Provider Business Mailing Address
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Address Line | 2202 S 77 SUNSHINE STRIP, SUITE H
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-412-3235
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Fax | 956-440-1413
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. SHEILA MAGOON
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Credential | MD
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Telephone | 956-412-3235
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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