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General NPI Number Information
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NPI Number | 1962429472
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Entity Type | Organization
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Legal Business Name | JOSE ZAMORA MD PA
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 4302 S SUGAR RD STE 106
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City | EDINBURG
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State | TX
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Zip | 78539-9140
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Country | US
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Telephone | 956-465-0766
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Fax | 956-465-0745
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Provider Business Mailing Address
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Address Line | PO BOX 1407
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City | ROBSTOWN
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State | TX
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Zip | 78380-9998
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Country | US
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Telephone | 361-389-4135
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Fax | 956-546-3406
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE L ZAMORA
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Credential | MD
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Telephone | 915-449-0891
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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 | G6427
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License Number State | TX
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