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General NPI Number Information
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NPI Number | 1346434628
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Entity Type | Individual
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Provider Name | SARONA MATHWARE MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 522 TEXAN TRL
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-2563
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Country | US
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Telephone | 361-400-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 12377 MERIT DR STE 300
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City | DALLAS
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State | TX
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Zip | 75251-3126
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Country | US
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Telephone | 972-957-3000
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Fax | 509-573-6275
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U2930
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License Number State | TX
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