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General NPI Number Information
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NPI Number | 1750565610
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Entity Type | Individual
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Provider Name | ANTONIO E. MANCERA MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 7210 MCPHERSON RD SUITE N230
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City | LAREDO
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State | TX
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Zip | 78041-6507
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Country | US
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Telephone | 956-728-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 7210 MCPHERSON RD SUITE N230
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City | LAREDO
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State | TX
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Zip | 78041-6507
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Country | US
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Telephone | 956-728-8121
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | N5832
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License Number State | TX
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