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General NPI Number Information
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NPI Number | 1831823756
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Entity Type | Organization
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Legal Business Name | DONNA CHILDREN'S CARE CLINIC PLLC
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 1205 HOOKS AVE
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City | DONNA
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State | TX
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Zip | 78537-3341
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Country | US
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Telephone | 956-383-7788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1820
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City | EDINBURG
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State | TX
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Zip | 78540-1820
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Country | US
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Telephone | 956-383-7788
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Fax |
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Authorized Official
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Title or Position | M.D
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Name | DR. ALLAN MERCADO
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Credential | M.D
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Telephone | 956-383-7788
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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 |
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License Number State |
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