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General NPI Number Information
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NPI Number | 1639990088
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Entity Type | Individual
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Provider Name | MARIA EUGENIA ZABALETA
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Gender | Female
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 3900 N JACKSON RD
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City | PHARR
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State | TX
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Zip | 78577-7768
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Country | US
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Telephone | 956-375-4695
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Fax | 956-375-4695
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Provider Business Mailing Address
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Address Line | CAKE ARCO IRIS N 155
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City | FRACCIONAMIENTO NUEVO PROGRESO
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State | TAMAULIPAS
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Zip | 88123
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Country | MX
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Telephone |
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6161072
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License Number State | TX
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