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General NPI Number Information
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NPI Number | 1356335855
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Entity Type | Individual
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Provider Name | EDGAR E MONCADA MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 100 E ALTON GLOOR BLVD BLDG. B STE 260
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3328
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Country | US
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Telephone | 956-350-3901
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Fax | 956-350-3900
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Provider Business Mailing Address
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Address Line | 100 E ALTON GLOOR BLVD BLDG. B STE 260
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3328
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Country | US
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Telephone | 956-350-3901
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Fax | 956-350-3900
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L7487
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License Number State | TX
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