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General NPI Number Information
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NPI Number | 1275080103
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Entity Type | Individual
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Provider Name | EDDY ENMANUEL BERGES CHEZ M.D.
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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 | 11/09/2020
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Provider Practice Location Address
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Address Line | 902 S AIRPORT DR STE 3
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City | WESLACO
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State | TX
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Zip | 78596-6649
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Country | US
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Telephone | 956-619-8000
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Fax | 956-421-2787
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Provider Business Mailing Address
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Address Line | PO BOX 1346
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City | WESLACO
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State | TX
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Zip | 78599-1346
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Country | US
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Telephone | 939-285-7265
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 19431
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S4923
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License Number State | TX
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