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General NPI Number Information
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NPI Number | 1386208692
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Entity Type | Individual
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Provider Name | MONICA ANN DE LA PAZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10100 LOOP 40
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City | MIDLAND
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State | TX
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Zip | 79706-2205
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Country | US
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Telephone | 432-617-0181
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Fax | 432-563-0656
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Provider Business Mailing Address
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Address Line | PO BOX 61880
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City | MIDLAND
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State | TX
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Zip | 79711-1880
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Country | US
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Telephone | 432-617-0181
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Fax | 432-563-0656
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | H4274
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License Number State | TX
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