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General NPI Number Information
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NPI Number | 1366745317
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Entity Type | Organization
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Legal Business Name | JOSEGAURI PA
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2453 MIMOSA CIR
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582
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Country | US
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Telephone | 956-487-7561
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Fax | 956-487-0097
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Provider Business Mailing Address
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Address Line | 2453 MIMOSA CIR
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6702
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Country | US
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Telephone | 956-487-7561
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Fax | 956-487-0097
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JULIA VAZQUEZ
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Credential | MANAGER
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Telephone | 956-605-6794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L0953
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License Number State | TX
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