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General NPI Number Information
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NPI Number | 1235406521
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Entity Type | Organization
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Legal Business Name | CHRISTINA ELIZABETH CANO-GONZALEZ, M.D., PA
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 100B E ALTON GLOOR BLVD SUITE 150
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3376
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Country | US
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Telephone | 956-350-9600
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Fax | 956-350-8424
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Provider Business Mailing Address
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Address Line | PO BOX 533878
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City | HARLINGEN
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State | TX
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Zip | 78553-3878
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Country | US
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Telephone | 956-454-2743
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Fax | 956-350-8424
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINA E CANO-GONZALEZ
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Credential | M.D.
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Telephone | 956-454-2743
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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 | L6815
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License Number State | TX
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