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General NPI Number Information
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NPI Number | 1538333133
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Entity Type | Individual
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Provider Name | MR. FRANCISCO BANDA
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Gender | Male
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 111 N 17TH ST STE D
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City | DONNA
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State | TX
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Zip | 78537-2969
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Country | US
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Telephone | 956-463-6863
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 HIGHLAND DR
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City | WESLACO
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State | TX
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Zip | 78596-3898
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Country | US
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Telephone | 956-463-6863
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Fax |
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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