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General NPI Number Information
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NPI Number | 1780705087
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Entity Type | Organization
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Legal Business Name | JOSE M. LONGORIA III, DC PA
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/13/2013
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Provider Practice Location Address
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Address Line | 3515 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78501-1931
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Country | US
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Telephone | 956-687-7705
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Fax | 956-687-7713
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Provider Business Mailing Address
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Address Line | 3020 N FRANKLIN RD
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City | EDINBURG
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State | TX
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Zip | 78541-8886
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Country | US
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Telephone | 956-792-3829
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Fax | 956-687-7713
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JOSE MARIA LONGORIA III
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Credential | D.C.
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Telephone | 956-792-3829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9688
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License Number State | TX
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