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General NPI Number Information
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NPI Number | 1457511370
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Entity Type | Individual
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Provider Name | JUAN PABLO RESENDEZ R.PH.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 1740 BOCA CHICA BLVD SUITE 400
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8132
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Country | US
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Telephone | 956-550-0632
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Fax | 956-541-4007
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Provider Business Mailing Address
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Address Line | 1740 BOCA CHICA BLVD SUITE 400
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8132
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Country | US
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Telephone | 956-550-0632
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Fax | 956-541-4007
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 31400
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 16854
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License Number State | TX
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