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General NPI Number Information
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NPI Number | 1831865393
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Entity Type | Organization
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Legal Business Name | LA PALOMA THERAPEUTICS PLLC
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 4307 N 10TH ST STE G2
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City | MCALLEN
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State | TX
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Zip | 78504-3058
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Country | US
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Telephone | 956-626-0544
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 E JACKSON AVE
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City | PHARR
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State | TX
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Zip | 78577-6163
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Country | US
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Telephone | 956-784-2504
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SABRINA LIZETTE REBOLLAR
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Credential | MS.,CCC-SLP
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Telephone | 956-784-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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