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General NPI Number Information
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NPI Number | 1518698869
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Entity Type | Individual
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Provider Name | BIANCA APRIL SERDA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 04/12/2024
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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 | 78539-1408
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Country | US
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Telephone | 956-362-2465
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Fax | 956-362-2466
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Provider Business Mailing Address
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Address Line | PO BOX 2975
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City | MCALLEN
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State | TX
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Zip | 78502-2975
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Country | US
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Telephone | 956-362-2465
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Fax | 956-362-2466
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA16540
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License Number State | TX
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