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General NPI Number Information
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NPI Number | 1992866164
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE PULMONARY CENTER, P.A.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 844 CENTRAL BLVD STE. 420
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7552
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Country | US
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Telephone | 956-542-9900
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Fax | 956-574-0003
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Provider Business Mailing Address
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Address Line | 844 CENTRAL BLVD. STE. 420
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-542-9900
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Fax | 956-574-0003
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Authorized Official
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Title or Position | CEO
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Name | JAIRO RODRIGUEZ
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Credential | M.D.
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Telephone | 956-542-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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