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General NPI Number Information
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NPI Number | 1689674319
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Entity Type | Organization
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Legal Business Name | RGV VASCULAR LABS LTD
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 1200 E RIDGE RD STE 10
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City | MCALLEN
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State | TX
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Zip | 78503-1527
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Country | US
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Telephone | 956-686-2488
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Fax | 956-630-4964
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Provider Business Mailing Address
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Address Line | 1200 E RIDGE RD STE 10
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City | MCALLEN
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State | TX
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Zip | 78503-1527
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Country | US
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Telephone | 956-686-2488
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Fax | 956-630-4964
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR
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Name | MR. GERALD M MCCALL
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Credential | RN RVT
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Telephone | 956-686-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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