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General NPI Number Information
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NPI Number | 1043332802
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGEONS ASSOCIATES
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10526 VISTA DEL SOL SUITE 206
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City | EL PASO
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State | TX
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Zip | 79925-6104
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Country | US
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Telephone | 915-313-6300
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Fax | 915-533-1723
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Provider Business Mailing Address
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Address Line | 10525 VISTA DEL SOL STE 206
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City | EL PASO
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State | TX
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Zip | 79925-7932
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Country | US
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Telephone | 915-313-6300
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Fax | 915-533-1723
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | DR. ALVARO HERNANDEZ
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Credential | MD
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Telephone | 915-313-6300
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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 | G3459
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License Number State | TX
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