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General NPI Number Information
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NPI Number | 1558494765
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Entity Type | Organization
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Legal Business Name | YASMIN S MALDONADO MD PA
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 120 UPTOWN AVE
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7559
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Country | US
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Telephone | 956-982-0909
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Fax | 956-982-0921
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Provider Business Mailing Address
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Address Line | 120 UPTOWN AVE
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7559
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Country | US
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Telephone | 956-982-0909
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Fax | 956-982-0921
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Authorized Official
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Title or Position | PRESIDENT
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Name | YASMIN SCARLET MALDONADO
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Credential | M.D.
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Telephone | 956-982-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K8793
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License Number State | TX
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