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General NPI Number Information
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NPI Number | 1689084675
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Entity Type | Individual
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Provider Name | FERNANDO MENDEZ P.A.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 01/02/2016
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Provider Practice Location Address
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Address Line | 95 E PRICE RD BLDG. E
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3578
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Country | US
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Telephone | 956-504-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 1001E TYLER AVE
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City | HARLINGEN
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State | TX
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Zip | 78550-7135
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Country | US
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Telephone | 956-423-1194
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Fax | 866-394-0482
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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