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General NPI Number Information
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NPI Number | 1225289218
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Entity Type | Organization
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Legal Business Name | VALLEY CARDIOTHORACIC SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 425 E. LOS EBANOS BLVD STE-103
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-350-6121
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Fax | 956-350-6125
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Provider Business Mailing Address
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Address Line | P.O BOX 3847
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-350-6121
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Fax | 956-350-6125
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CARLOS MANUEL CHAVEZ
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Credential | M.D
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Telephone | 956-350-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | F3431
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License Number State | TX
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