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General NPI Number Information
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NPI Number | 1629034871
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Entity Type | Organization
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Legal Business Name | ROSIE C. BELANDRES-HICBAN,M.D.,P.A
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3145 W ALBERTA RD
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City | EDINBURG
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State | TX
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Zip | 78539-9402
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Country | US
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Telephone | 956-682-6872
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Fax | 956-630-4843
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Provider Business Mailing Address
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Address Line | PO BOX 1999
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City | EDINBURG
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State | TX
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Zip | 78540-1999
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSIE CADIZ BELANDRES-HICBAN
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Credential | M.D.
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Telephone | 956-682-6872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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