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General NPI Number Information
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NPI Number | 1912182577
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Entity Type | Organization
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Legal Business Name | DR LUIS M RIOS M D P A
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 11/11/2011
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Provider Practice Location Address
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Address Line | 2101 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8301
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Country | US
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Telephone | 956-682-3147
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Fax | 956-682-3511
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Provider Business Mailing Address
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Address Line | 2101 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8301
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Country | US
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Telephone | 956-682-3147
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Fax | 956-682-3511
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS MANUEL RIOS JR.
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Credential | M.D.
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Telephone | 956-682-3147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | J0221
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License Number State | TX
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