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General NPI Number Information
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NPI Number | 1891568226
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Entity Type | Individual
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Provider Name | MATTHEW RUBEN ALMANZA PA
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Gender | Male
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 5750 PINELAND DR STE 1505750
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City | DALLAS
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State | TX
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Zip | 75231-5300
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Country | US
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Telephone | 214-379-4393
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Fax | 214-234-0488
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Provider Business Mailing Address
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Address Line | 5750 PINELAND DR STE 150
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City | DALLAS
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State | TX
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Zip | 75231-5300
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Country | US
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Telephone | 214-379-4393
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Fax | 214-234-0488
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18140
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License Number State | TX
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