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General NPI Number Information
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NPI Number | 1386895225
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Entity Type | Organization
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Legal Business Name | RGV PREVENTATIVE CARE, INC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 500 S BICENTENNIAL BLVD
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City | MCALLEN
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State | TX
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Zip | 78501-5275
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Country | US
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Telephone | 956-971-0077
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Fax | 956-971-0076
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Provider Business Mailing Address
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Address Line | 500 S BICENTENNIAL BLVD
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City | MCALLEN
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State | TX
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Zip | 78501-5275
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Country | US
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Telephone | 956-971-0077
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Fax | 956-971-0076
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Authorized Official
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Title or Position | CEO
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Name | VICENTE ARAMBULA
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Credential |
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Telephone | 956-971-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R31044
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | R31044
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License Number State | TX
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