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General NPI Number Information
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NPI Number | 1225431596
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Entity Type | Individual
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Provider Name | MARCELA GALLEGOS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 7210 MCPHERSON RD N230
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City | LAREDO
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State | TX
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Zip | 78041-6507
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Country | US
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Telephone | 956-728-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SHADOWBROOK LN
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City | BROWNSVILLE
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State | TX
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Zip | 78521-1649
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TX
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