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NPI 1669636304

NPI 1669636304 : MICHELLE A ZEAGER D.O., M.P.H. : EDINBURG, TX

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General NPI Number Information
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    NPI Number           |    1669636304
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE A ZEAGER D.O., M.P.H.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2008
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    Last Update Date     |    08/03/2018
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Provider Practice Location Address
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    Address Line         |    4150 CROSSPOINT BLVD 
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    City                 |    EDINBURG
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    State                |    TX
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    Zip                  |    78539
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    Country              |    US
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    Telephone            |    956-381-5817
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    Fax                  |    956-381-5397
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Provider Business Mailing Address
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    Address Line         |    2102 TREASURE HILLS BLVD # 3.14406 
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    City                 |    HARLINGEN
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    State                |    TX
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    Zip                  |    78550-8736
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    Country              |    US
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    Telephone            |    956-296-1437
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    Fax                  |    956-296-6842
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    235521
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    P0326
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    License Number State |    TX
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