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General NPI Number Information
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NPI Number | 1710192372
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Entity Type | Organization
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Legal Business Name | RAGL MEDICAL INVESTMENTS LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 3000 N BUSINESS 281
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City | EDINBURG
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State | TX
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Zip | 78541-7162
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Country | US
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Telephone | 956-380-6565
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Fax | 956-380-6566
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Provider Business Mailing Address
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Address Line | PO BOX 2816
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City | EDINBURG
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State | TX
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Zip | 78540-2816
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Country | US
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Telephone | 956-380-6565
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Fax | 956-380-6566
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Authorized Official
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Title or Position | PIC
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Name | HENRY FONSECA
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Credential |
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Telephone | 956-380-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25972
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License Number State | TX
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