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General NPI Number Information
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NPI Number | 1801710199
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Entity Type | Organization
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Legal Business Name | OPTIMAL CARE S LAREDO LLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 806 RIVERHILL DR
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City | LAREDO
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State | TX
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Zip | 78046-6578
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Country | US
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Telephone | 956-635-2397
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Fax |
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Provider Business Mailing Address
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Address Line | 315 CALLE DEL NORTE STE 201
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City | LAREDO
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State | TX
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Zip | 78041-5961
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Country | US
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Telephone | 956-722-0933
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. RIGOBERTO LOPEZ
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Credential | CPA
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Telephone | 956-722-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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