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General NPI Number Information
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NPI Number | 1710006184
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Entity Type | Organization
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Legal Business Name | CESAR DELAGUILA
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 3440 NE STALLINGS DR
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City | NACOGDOCHES
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State | TX
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Zip | 75965-8719
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Country | US
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Telephone | 936-462-8740
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Fax | 936-462-8751
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Provider Business Mailing Address
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Address Line | 1710 COUNTY ROAD 811
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City | NACOGDOCHES
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State | TX
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Zip | 75964-1805
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Country | US
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Telephone | 936-645-5854
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Fax | 936-462-8761
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Authorized Official
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Title or Position | OWNER
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Name | CESAR DELAGUILA
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Credential | M.D.
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Telephone | 936-645-3664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M5124
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License Number State | TX
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