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General NPI Number Information
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NPI Number | 1528137833
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Entity Type | Individual
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Provider Name | MARK ANDREW SALDANA P.A.-C.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 1111 W FRANK AVE STE 100
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City | LUFKIN
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State | TX
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Zip | 75904-3390
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Country | US
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Telephone | 936-639-2244
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Fax | 936-639-2420
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Provider Business Mailing Address
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Address Line | 1521 AZALEA DR
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City | LUFKIN
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State | TX
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Zip | 75904-5321
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Country | US
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Telephone | 936-829-4749
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Fax | 936-829-5950
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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 | PA00796
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License Number State | TX
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