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NPI 1225585151

NPI 1225585151 : FILIBERTO GUTIERREZ JR. NP : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1225585151
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    Entity Type          |    Individual 
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    Provider Name        |    FILIBERTO GUTIERREZ JR. NP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/08/2016
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    Last Update Date     |    03/17/2021
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Provider Practice Location Address
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    Address Line         |    5521 N MCCOLL RD 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-2208
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    Country              |    US
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    Telephone            |    956-362-8420
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    Fax                  |    956-362-8448
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4449 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78502-4449
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    Country              |    US
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    Telephone            |    956-627-3832
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    Fax                  |    956-618-3051
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP131208
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    License Number State |    TX
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