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General NPI Number Information
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NPI Number | 1407126386
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Entity Type | Individual
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Provider Name | MONICA COSME-GARZA PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 1315 E 6TH ST STE 6
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City | WESLACO
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State | TX
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Zip | 78596-6632
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Country | US
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Telephone | 956-351-5949
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Fax | 956-351-5946
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Provider Business Mailing Address
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Address Line | 1305 ASTER DR
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City | WESLACO
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State | TX
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Zip | 78599-2793
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Country | US
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Telephone | 956-463-4998
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA04410
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License Number State | TX
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