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General NPI Number Information
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NPI Number | 1215201132
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Entity Type | Individual
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Provider Name | EDUARDO URIBE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 401 S HELEN MOORE RD
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City | SAN BENITO
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State | TX
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Zip | 78586-7279
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Country | US
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Telephone | 956-709-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S HELEN MOORE RD
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City | SAN BENITO
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State | TX
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Zip | 78586-7279
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Country | US
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Telephone | 956-709-9300
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P6741
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License Number State | TX
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