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General NPI Number Information
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NPI Number | 1568410975
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Entity Type | Individual
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Provider Name | LISA M DIX EMPERADOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 18414 US HWY 281 N SUITE 104 SUITE A
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City | SAN ANTONIO
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State | TX
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Zip | 78259
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Country | US
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Telephone | 877-460-5004
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Fax | 888-388-4339
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Provider Business Mailing Address
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Address Line | 597 W SESAME DR SUITE A
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City | HARLINGEN
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State | TX
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Zip | 78550-7962
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Country | US
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Telephone | 956-412-7503
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Fax | 956-423-0914
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L3283
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License Number State | TX
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