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General NPI Number Information
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NPI Number | 1801196142
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Entity Type | Organization
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Legal Business Name | JOSE LUIS VILLALOBOS MD
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 864 CENTRAL BLVD SUITE 1250
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7551
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Country | US
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Telephone | 956-546-1378
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Fax | 956-574-0230
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Provider Business Mailing Address
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Address Line | PO BOX 3293
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City | MCALLEN
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State | TX
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Zip | 78502-3293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSE VILLALOBOS
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Credential | MD
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Telephone | 956-546-1378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | TX
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