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General NPI Number Information
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NPI Number | 1205017084
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Entity Type | Organization
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Legal Business Name | LIVANIA ZAVALA-SPINETTI MD PA
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 4709 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-8381
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Country | US
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Telephone | 956-682-4500
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Fax | 956-682-4505
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Provider Business Mailing Address
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Address Line | 4709 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-8381
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Country | US
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Telephone | 956-682-4500
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Fax | 956-682-4505
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Authorized Official
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Title or Position | OWNER
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Name | DR. LIVANIA Y ZAVALA-SPINETTI
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Credential | MD
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Telephone | 956-682-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L1251
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License Number State | TX
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