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General NPI Number Information
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NPI Number | 1679711329
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Entity Type | Organization
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Legal Business Name | TANIA JALIL, M.D., P.A.
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 4920 N EXPRESSWAY ALTON GLOOR PLAZA # 101
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4334
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Country | US
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Telephone | 956-350-5530
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Fax | 956-350-5527
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Provider Business Mailing Address
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Address Line | 1474 W PRICE RD STE # 7, BOX 536
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8687
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Country | US
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Telephone | 956-350-5530
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Fax | 956-350-5527
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TANIA Q JALIL
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Credential | M.D.
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Telephone | 956-459-8219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K-3259
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License Number State | TX
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