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General NPI Number Information
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NPI Number | 1912379884
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Entity Type | Organization
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Legal Business Name | CARLOS A. DE LA HOZ
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 300 E CAMELLIA AVE APT PH3F
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City | MCALLEN
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State | TX
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Zip | 78501-3246
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Country | US
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Telephone | 305-385-2407
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Fax | 347-214-4986
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Provider Business Mailing Address
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Address Line | 300 E CAMELLIA AVE APT PH3F
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City | MCALLEN
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State | TX
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Zip | 78501-3246
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Country | US
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Telephone | 305-385-2407
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Fax | 347-214-4986
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS A DE LA HOZ
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Credential | M.D.
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Telephone | 305-385-2407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P2847
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License Number State | TX
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