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General NPI Number Information
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NPI Number | 1548016777
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Entity Type | Individual
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Provider Name | MIANA RENE ZAPATA
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 2101 PEASE ST
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City | HARLINGEN
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State | TX
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Zip | 78550-8307
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Country | US
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Telephone | 956-389-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 23080 HIGHWAY 16 S
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City | VON ORMY
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State | TX
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Zip | 78073-5362
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Country | US
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Telephone | 210-364-6655
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10087934
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License Number State | TX
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