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General NPI Number Information
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NPI Number | 1942571252
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Entity Type | Organization
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Legal Business Name | MARIN FAMILY MEDICINE
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 218 PALM VALLEY DR W
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City | HARLINGEN
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State | TX
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Zip | 78552-8948
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Country | US
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Telephone | 956-245-8170
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Fax |
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Provider Business Mailing Address
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Address Line | 218 PALM VALLEY DR W
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City | HARLINGEN
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State | TX
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Zip | 78552-8948
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Country | US
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Telephone | 956-245-8170
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RIGOBERTO LACAYO MARIN
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Credential | M.D.
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Telephone | 956-245-8170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N8035
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License Number State | TX
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