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General NPI Number Information
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NPI Number | 1164750907
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Entity Type | Organization
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Legal Business Name | JULIAN GOMEZ III, M.D. PA
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 1801 S 5TH ST SUITE 124
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-630-2786
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Fax | 956-630-4329
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Provider Business Mailing Address
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Address Line | 1801 S 5TH ST SUITE 124
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-630-2786
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Fax | 956-630-4329
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULIAN GOMEZ III
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Credential | M.D.
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Telephone | 956-630-2786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | TX
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