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General NPI Number Information
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NPI Number | 1366642613
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Entity Type | Organization
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Legal Business Name | MIGUEL E. MEGO, D.D.S., M.S., P.A.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 2525 W TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78539-5070
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Country | US
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Telephone | 956-928-0022
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Fax | 956-928-0068
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Provider Business Mailing Address
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Address Line | 2525 W TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78539-5070
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Country | US
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Telephone | 956-928-0022
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Fax | 956-928-0068
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Authorized Official
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Title or Position | ENDODONTIST/OWNER
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Name | MIGUEL ELIAS MEGO
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Credential | D.D.S., M.S.
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Telephone | 956-928-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22511
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License Number State | TX
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