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General NPI Number Information
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NPI Number | 1629524046
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Entity Type | Organization
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Legal Business Name | VALUE PATHOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 2300 W PIKE BLVD STE 102
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City | WESLACO
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State | TX
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Zip | 78596-5656
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Country | US
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Telephone | 956-365-4400
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Fax | 956-365-4111
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Provider Business Mailing Address
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Address Line | 512 VICTORIA LN STE 2
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City | HARLINGEN
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State | TX
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Zip | 78550-3227
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Country | US
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Telephone | 956-365-4400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NOLAN E PEREZ
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Credential | M.D.
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Telephone | 956-365-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | TX
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