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General NPI Number Information
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NPI Number | 1851731319
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Entity Type | Organization
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Legal Business Name | ANNABELLE LOPEZ M.D., P.A.
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 913 S AIRPORT DR STE 201
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City | WESLACO
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State | TX
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Zip | 78596-6629
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Country | US
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Telephone | 956-647-5529
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Fax | 956-647-5617
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Provider Business Mailing Address
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Address Line | 913 S AIRPORT DR STE 201
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City | WESLACO
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State | TX
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Zip | 78596-6629
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Country | US
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Telephone | 956-647-5529
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Fax | 956-647-5617
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Authorized Official
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Title or Position | DOCTOR
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Name | ANNABELLE LOPEZ
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Credential | MD
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Telephone | 956-647-5529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | N1383
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License Number State | TX
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