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General NPI Number Information
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NPI Number | 1568596559
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Entity Type | Individual
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Provider Name | SAMUEL SERNA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 5501 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-9152
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Country | US
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Telephone | 817-570-7300
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Fax | 817-570-7062
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Provider Business Mailing Address
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Address Line | PO BOX 3316
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City | MCALLEN
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State | TX
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Zip | 78502-3316
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Country | US
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Telephone | 817-570-7300
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Fax | 817-573-7062
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M0562
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License Number State | TX
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