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General NPI Number Information
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NPI Number | 1588836894
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Entity Type | Organization
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Legal Business Name | JAVIER ESTRADA INCORPORATED
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 2305 N ARKANSAS AVE
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City | LAREDO
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State | TX
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Zip | 78044-2453
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Country | US
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Telephone | 956-727-5062
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Fax | 956-729-9976
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Provider Business Mailing Address
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Address Line | PO BOX 440920
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City | LAREDO
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State | TX
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Zip | 78044-0920
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Country | US
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Telephone | 956-727-5062
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Fax | 956-729-9976
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAVIER ESTRADA
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Credential |
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Telephone | 956-727-5062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 240013
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License Number State | TX
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