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General NPI Number Information
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NPI Number | 1013935675
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Entity Type | Individual
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Provider Name | GERARDO J. MOREIRA M.D., P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1600 MONTANA AVE
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City | EL PASO
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State | TX
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Zip | 79902-5622
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Country | US
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Telephone | 915-877-3410
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Fax | 915-351-3643
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Provider Business Mailing Address
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Address Line | 2415 E YANDELL DR
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City | EL PASO
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State | TX
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Zip | 79903-3616
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Country | US
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Telephone | 915-577-0111
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Fax | 915-533-2568
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | J1320
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | J1320
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License Number State | TX
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