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General NPI Number Information
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NPI Number | 1770048175
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Entity Type | Organization
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Legal Business Name | PABLO CASARES MD PA
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Dates
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Enumeration Date | 02/10/2019
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 106 MESA PARK DR STE 200
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City | EL PASO
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State | TX
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Zip | 79912-6122
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Country | US
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Telephone | 915-300-3484
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Fax | 866-531-7508
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Provider Business Mailing Address
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Address Line | 106 MESA PARK DR STE 200
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City | EL PASO
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State | TX
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Zip | 79912-6122
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Country | US
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Telephone | 915-300-3484
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Fax | 866-531-7508
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SHARRON FARRY
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Credential |
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Telephone | 915-630-4607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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