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General NPI Number Information
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NPI Number | 1316071335
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Entity Type | Individual
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Provider Name | LUCIA DEJESUS SALDANA PA
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2121 E GRIFFIN PKWY SUITE 6
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City | MISSION
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State | TX
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Zip | 78572-3241
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Country | US
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Telephone | 956-583-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 CALLE ANACUA
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City | SAN JUAN
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State | TX
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Zip | 78589-3377
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Country | US
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Telephone | 956-821-3996
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA03515
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA036
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License Number State | MS
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