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General NPI Number Information
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NPI Number | 1912918244
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Entity Type | Organization
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Legal Business Name | HARLINGEN FAMILY PRACTICE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 597 W SESAME DR SUITE B
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City | HARLINGEN
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State | TX
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Zip | 78550-7962
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Country | US
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Telephone | 956-423-3343
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Fax | 956-423-4043
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Provider Business Mailing Address
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Address Line | PO BOX 1309
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City | HARLINGEN
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State | TX
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Zip | 78551-1309
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Country | US
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Telephone | 956-423-3343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN M O'DONNELL
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Credential | M.D.
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Telephone | 956-423-3343
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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 |
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License Number State |
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