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General NPI Number Information
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NPI Number | 1760766257
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Entity Type | Organization
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Legal Business Name | BORDER CLINIC PLLC
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1310 TREY DR
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City | LAREDO
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State | TX
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Zip | 78041-6394
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Country | US
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Telephone | 956-727-3047
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Fax | 956-717-3630
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Provider Business Mailing Address
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Address Line | 1310 TREY DR
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City | LAREDO
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State | TX
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Zip | 78041-6394
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Country | US
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Telephone | 956-727-3047
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Fax | 956-717-3630
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CLAUDIA GETZABETH MERCADO
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Credential | MD
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Telephone | 956-727-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P0443
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License Number State | TX
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