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General NPI Number Information
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NPI Number | 1538523279
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Entity Type | Organization
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Legal Business Name | RRA HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 409 SOUTH F ST.
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City | HARLINGEN
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State | TX
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Zip | 78550-6569
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Country | US
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Telephone | 956-454-6163
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Fax |
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Provider Business Mailing Address
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Address Line | 409 SOUTH F ST.
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City | HARLINGEN
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State | TX
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Zip | 78550-6569
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Country | US
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Telephone | 956-454-6163
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR MEDICAL SERVICES
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Name | MRS. MARIA DELMA GALLEGOS
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Credential | RN
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Telephone | 956-454-6163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | TX
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