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General NPI Number Information
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NPI Number | 1215192364
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Entity Type | Organization
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Legal Business Name | CARLOS G CIGARROA, M.D., P.A.
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 702 E CALTON RD SUITE 101
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City | LAREDO
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State | TX
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Zip | 78041-3988
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Country | US
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Telephone | 956-728-8255
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Fax | 956-728-0400
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Provider Business Mailing Address
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Address Line | PO BOX 451428
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City | LAREDO
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State | TX
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Zip | 78045-0035
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Country | US
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Telephone | 956-728-8255
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Fax | 956-728-0040
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS G CIGARROA
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Credential | M.D.
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Telephone | 956-728-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J1212
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number | J1212
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License Number State | TX
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