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General NPI Number Information
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NPI Number | 1952381618
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Entity Type | Individual
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Provider Name | DON APODACA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 1105 ELIZABETH ST
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City | RANKIN
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State | TX
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Zip | 79778
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Country | US
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Telephone | 432-693-2442
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Fax | 432-693-2504
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Provider Business Mailing Address
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Address Line | 7996 E US HIGHWAY 158
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City | GARDENDALE
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State | TX
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Zip | 79758-4324
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Country | US
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Telephone | 432-563-8062
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Fax | 432-563-7990
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E5340
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E5340
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License Number State | TX
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