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General NPI Number Information
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NPI Number | 1205027174
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Entity Type | Organization
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Legal Business Name | ALBERT MAGALLAN JR
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1231 E HACKBERRY AVE
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City | MCALLEN
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State | TX
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Zip | 78501-5736
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Country | US
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Telephone | 956-687-7572
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Fax | 956-687-2726
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Provider Business Mailing Address
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Address Line | PO BOX 1137
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City | MCALLEN
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State | TX
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Zip | 78505-1137
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Country | US
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Telephone | 956-687-7572
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Fax | 956-687-2726
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALBERT MAGALLAN JR.
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Credential |
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Telephone | 956-687-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TXD0013644
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License Number State | TX
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