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General NPI Number Information
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NPI Number | 1174849426
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Entity Type | Individual
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Provider Name | MONICA DE LEON PA
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Gender | Female
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 2821 MICHAELANGELO DR STE 203
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City | EDINBURG
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State | TX
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Zip | 78539-1423
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Country | US
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Telephone | 956-362-2517
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Fax | 956-362-2612
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Provider Business Mailing Address
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Address Line | PO BOX 3989
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City | MCALLEN
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State | TX
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Zip | 78502-3989
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Country | US
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Telephone | 956-362-2517
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Fax | 956-362-2612
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-06361
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License Number State | TX
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