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General NPI Number Information
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NPI Number | 1245789502
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Entity Type | Individual
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Provider Name | ARTURO A LIRA P.A
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Gender | Male
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 3475 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-4474
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Country | US
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Telephone | 956-350-9705
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Fax |
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Provider Business Mailing Address
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Address Line | 3475 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-4474
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Country | US
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Telephone | 956-350-9705
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Fax | 956-350-9480
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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 | PA10548
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License Number State | TX
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