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General NPI Number Information
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NPI Number | 1902978620
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Entity Type | Organization
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Legal Business Name | JUAN LLOMPART M.D., P.A.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 2705 HOSPITAL DR STE 202
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City | VICTORIA
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State | TX
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Zip | 77901-5743
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Country | US
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Telephone | 361-572-5105
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Fax | 361-582-1128
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Provider Business Mailing Address
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Address Line | 2705 HOSPITAL DR STE 202
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City | VICTORIA
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State | TX
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Zip | 77901-5743
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Country | US
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Telephone | 361-572-5105
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Fax | 361-582-1128
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN A LLOMPART-ZENO
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Credential | MD
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Telephone | 361-572-5105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F9742
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License Number State | TX
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