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General NPI Number Information
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NPI Number | 1588529069
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Entity Type | Organization
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Legal Business Name | DELTA HEALTH & PERFORMANCE
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 204 E CANO ST STE 133
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City | EDINBURG
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State | TX
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Zip | 78539-4510
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Country | US
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Telephone | 956-828-7501
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Fax |
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Provider Business Mailing Address
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Address Line | 204 E CANO ST STE 133
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City | EDINBURG
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State | TX
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Zip | 78539-4510
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Country | US
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Telephone | 956-828-7501
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MIGUEL TREVINO
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Credential | MS, RDN, LD
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Telephone | 956-828-7501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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