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General NPI Number Information
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NPI Number | 1174702872
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Entity Type | Organization
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Legal Business Name | MONTE CRISTO FAMILY CLINIC INC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3002 N CLOSNER BLVD STE B
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City | EDINBURG
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State | TX
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Zip | 78541-7162
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Country | US
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Telephone | 956-383-8300
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Fax | 956-383-3006
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Provider Business Mailing Address
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Address Line | 3002 N CLOSNER BLVD STE B
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City | EDINBURG
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State | TX
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Zip | 78541-7162
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Country | US
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Telephone | 956-383-8300
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Fax | 956-383-3006
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Authorized Official
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Title or Position | OWNER
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Name | RIAD ALI ABOUJAMOUS
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Credential | N.P.
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Telephone | 956-383-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 647801
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License Number State | TX
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