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NPI 1619555281

NPI 1619555281 : AARON SAMUEL CHAPA PA : EDINBURG, TX

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General NPI Number Information
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    NPI Number           |    1619555281
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    Entity Type          |    Individual 
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    Provider Name        |    AARON SAMUEL CHAPA PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/01/2021
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    Last Update Date     |    05/22/2023
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Provider Practice Location Address
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    Address Line         |    5121 S MCCOLL RD 
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    City                 |    EDINBURG
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    State                |    TX
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    Zip                  |    78539-8278
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    Country              |    US
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    Telephone            |    956-362-6730
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    Fax                  |    956-362-6745
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4624 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78502-4624
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    Country              |    US
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    Telephone            |    956-362-6730
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    Fax                  |    956-362-6745
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    39020000X
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA15586
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    License Number State |    TX
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