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General NPI Number Information
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NPI Number | 1891965745
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Entity Type | Organization
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Legal Business Name | MARIO A. ECHAVARRIA MD PA
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 3001 N 23RD ST STE 3
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City | MCALLEN
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State | TX
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Zip | 78501-6178
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Country | US
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Telephone | 956-971-9999
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Fax | 956-971-9979
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Provider Business Mailing Address
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Address Line | 3001 N 23RD ST STE 3
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City | MCALLEN
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State | TX
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Zip | 78501-6178
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Country | US
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Telephone | 956-971-9999
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. MARIO A ECHAVARRIA
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Credential | MD
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Telephone | 956-971-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | L3631
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License Number State | TX
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