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General NPI Number Information
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NPI Number | 1043281744
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Entity Type | Individual
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Provider Name | CESAR REZA-TRUJILLO MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 619 W 54TH ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10019-3545
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Country | US
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Telephone | 212-889-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 3822 COPPER BEND RD
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City | LAREDO
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State | TX
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Zip | 78045-8440
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Country | US
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Telephone | 956-740-7392
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L2595
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 315335
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License Number State | NY
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