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General NPI Number Information
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NPI Number | 1811986946
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Entity Type | Individual
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Provider Name | MARY MARGARET GUTIERREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 504 W PECAN BLVD SUITE 100
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-627-5747
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Fax | 956-627-5761
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Provider Business Mailing Address
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Address Line | 504 PECAN BLVD SUITE 100
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City | MCALLEN
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State | TX
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Zip | 78501-2345
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Country | US
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Telephone | 956-627-5747
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Fax | 956-627-5761
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 55946
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License Number State | MA
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