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General NPI Number Information
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NPI Number | 1508070038
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Entity Type | Organization
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Legal Business Name | LUIS DELGADO JR MD PA
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 5128 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-2834
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Country | US
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Telephone | 956-631-3831
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Fax | 956-631-5537
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Provider Business Mailing Address
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Address Line | 5128 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-2834
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Country | US
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Telephone | 956-631-3831
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Fax | 956-618-5140
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. LUIS DELGADO JR.
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Credential | M.D.
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Telephone | 956-631-3831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H4279
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License Number State | TX
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