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General NPI Number Information
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NPI Number | 1831757889
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Entity Type | Organization
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Legal Business Name | DIANA ESCOBEDO MD PA
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 494 N KENAZO AVE STE I
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City | HORIZON CITY
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State | TX
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Zip | 79928-5421
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Country | US
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Telephone | 915-845-7300
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Fax | 915-201-4379
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Provider Business Mailing Address
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Address Line | 494 N KENAZO AVE
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City | HORIZON CITY
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State | TX
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Zip | 79928-5419
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Country | US
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Telephone | 915-845-7300
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Fax | 915-201-4379
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Authorized Official
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Title or Position | MD
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Name | DIANA ESCOBEDO
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Credential |
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Telephone | 575-415-5668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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