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General NPI Number Information
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NPI Number | 1255686556
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Entity Type | Individual
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Provider Name | LINDA PANIAGUA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 1040 JEFFERSON BLVD.
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7852
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Country | US
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Telephone | 956-350-5444
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Fax | 956-350-2493
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Provider Business Mailing Address
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Address Line | 2686 W ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-4054
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Country | US
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Telephone | 956-350-5444
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q4235
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License Number State | TX
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