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General NPI Number Information
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NPI Number | 1497692651
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Entity Type | Individual
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Provider Name | RAUL LEAL JR.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 9514 N FM 1015
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City | MERCEDES
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State | TX
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Zip | 78570-5678
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Country | US
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Telephone | 956-733-1542
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Fax |
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Provider Business Mailing Address
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Address Line | 9514 N FM 1015
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City | MERCEDES
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State | TX
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Zip | 78570-5678
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Country | US
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Telephone | 956-975-1427
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1003944
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License Number State | TX
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