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NPI 1003977323

NPI 1003977323 : JULIAN ALBERTO FLOREZ-PEREZ MD : MISSION, TX

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General NPI Number Information
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    NPI Number           |    1003977323
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    Entity Type          |    Individual 
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    Provider Name        |    JULIAN ALBERTO FLOREZ-PEREZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    03/10/2014
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Provider Practice Location Address
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    Address Line         |    1810 E GRIFFIN PKWY SUITE A-4
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78572-8518
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    Country              |    US
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    Telephone            |    956-580-8072
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    Fax                  |    956-583-3050
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3238 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78573-0055
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    Country              |    US
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    Telephone            |    956-580-8072
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    Fax                  |    956-583-3050
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD00042086
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    License Number State |    WA
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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       |    N5677
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    N5677
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    License Number State |    TX
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