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General NPI Number Information
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NPI Number | 1720568231
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Entity Type | Individual
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Provider Name | MARIA ELIZABETH COMBS
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 422 E 18TH ST
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City | WESLACO
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State | TX
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Zip | 78596-8032
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Country | US
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Telephone | 956-973-8451
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 ABDON CIR
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City | EDINBURG
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State | TX
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Zip | 78541-8238
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Country | US
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Telephone | 281-901-2825
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 212869
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License Number State | TX
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