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General NPI Number Information
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NPI Number | 1780040519
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Entity Type | Individual
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Provider Name | JULIETA MEJIA
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Gender | Female
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 2100 CORPUS CHRISTI ST #9
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City | LAREDO
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State | TX
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Zip | 78043-3398
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Country | US
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Telephone | 956-723-2001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1630
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City | LAREDO
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State | TX
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Zip | 78044-1630
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Country | US
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Telephone | 956-337-0783
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27876
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License Number State | TX
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