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General NPI Number Information
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NPI Number | 1679876924
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Entity Type | Organization
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Legal Business Name | RONALDO D FACTORIZA,.M.D.P.A.
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 680 PAREDES LINE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2482
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Country | US
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Telephone | 956-541-9499
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Fax | 956-541-1321
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Provider Business Mailing Address
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Address Line | PO BOX 3638
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City | BROWNSVILLE
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State | TX
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Zip | 78523-3638
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Country | US
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Telephone | 956-541-9499
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Fax | 956-541-1321
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALDO DICTADO FACTORIZA
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Credential | M.D. P.A.
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Telephone | 956-541-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K5923
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License Number State | TX
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