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General NPI Number Information
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NPI Number | 1417195033
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Entity Type | Organization
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Legal Business Name | MIGUEL ANGEL GUTIERREZ MD & ASSOCIATES
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 2108 S M ST SUITE 4
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City | MCALLEN
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State | TX
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Zip | 78503-1555
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Country | US
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Telephone | 956-686-8100
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Fax | 956-686-8999
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Provider Business Mailing Address
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Address Line | 2108 S M ST SUITE 4
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City | MCALLEN
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State | TX
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Zip | 78503-1555
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Country | US
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Telephone | 956-686-8100
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Fax | 956-686-8999
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Authorized Official
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Title or Position | M.D./OWNER
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Name | DR. MIGUEL A GUTIERREZ
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Credential | M.D.
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Telephone | 956-686-8100
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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 | K8190
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License Number State | TX
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