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General NPI Number Information
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NPI Number | 1699252999
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Entity Type | Individual
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Provider Name | DAVID BRAVO BS
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Gender | Male
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 5309 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78504-2252
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Country | US
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Telephone | 956-664-1819
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 N 13TH 1/2 ST
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City | MCALLEN
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State | TX
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Zip | 78501-4122
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Country | US
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Telephone | 956-867-1058
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Fax |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 33547
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License Number State | TX
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