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General NPI Number Information
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NPI Number | 1497907893
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Entity Type | Individual
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Provider Name | MELISSA RIOS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 2717 MICHAELANGELO DR
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-362-2188
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Fax | 956-217-7099
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | PHARR
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State | TX
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Zip | 78577-1614
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Country | US
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Telephone | 956-362-2188
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Fax | 956-217-7099
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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 | PA05896
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License Number State | TX
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