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General NPI Number Information
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NPI Number | 1689882516
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Entity Type | Organization
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Legal Business Name | URGENT CARE-RGV M D P A CARLOS BERNAL
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 835 N EXPRESSWAY 83
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-542-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 N EXPRESSWAY 83, STE 3
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-542-0300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS V BERNAL
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Credential | MD
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Telephone | 956-542-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H2244
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License Number State | TX
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