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General NPI Number Information
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NPI Number | 1386264125
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Entity Type | Individual
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Provider Name | DYLAN LOPEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 100A E ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3346
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Country | US
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Telephone | 956-350-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 8707 SOUTHWESTERN BLVD APT 1618
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City | DALLAS
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State | TX
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Zip | 75206-8272
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Country | US
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Telephone |
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9999999999
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | U9589
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | U9589
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License Number State | TX
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