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General NPI Number Information
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NPI Number | 1497917595
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Entity Type | Organization
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Legal Business Name | GABRIEL DIAZ MD PA
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 316 LINDBERG AVE
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City | MCALLEN
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State | TX
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Zip | 78501-2943
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Country | US
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Telephone | 956-664-0002
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Fax | 956-664-2924
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Provider Business Mailing Address
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Address Line | 316 LINDBERG AVE
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City | MCALLEN
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State | TX
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Zip | 78501-2943
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Country | US
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Telephone | 956-664-0002
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Fax | 956-664-2924
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERESA FLEMING
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Credential |
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Telephone | 956-664-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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