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General NPI Number Information
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NPI Number | 1952606642
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Entity Type | Organization
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Legal Business Name | CHARLES W.ZAVALA,M.D.,P.A.
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 06/25/2011
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Provider Practice Location Address
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Address Line | 840 W PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8702
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Country | US
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Telephone | 956-541-0162
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Fax | 956-554-9686
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Provider Business Mailing Address
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Address Line | 840 W PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8702
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Country | US
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Telephone | 956-541-0162
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Fax | 956-554-9686
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. EMMA GIRALA
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Credential |
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Telephone | 956-541-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | F0099
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License Number State | TX
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