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General NPI Number Information
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NPI Number | 1871650283
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Entity Type | Organization
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Legal Business Name | EDUARDO J MARIEL MDPA
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 222 E RIDGE RD STE 204
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City | MCALLEN
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State | TX
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Zip | 78503-1251
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Country | US
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Telephone | 956-618-4737
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Fax | 956-972-0199
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Provider Business Mailing Address
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Address Line | PO BOX 3869
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City | MCALLEN
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State | TX
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Zip | 78502-3869
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Country | US
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Telephone | 956-618-4737
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Fax | 956-972-0199
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO J MARIEL
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Credential | MD
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Telephone | 956-618-4737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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