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General NPI Number Information
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NPI Number | 1063859189
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Entity Type | Individual
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Provider Name | JORGE G. ALAMO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 8050 E HIGHWAY 191 SUITE 104
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City | ODESSA
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State | TX
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Zip | 79765-8613
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Country | US
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Telephone | 432-640-6476
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Fax | 432-640-4758
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Provider Business Mailing Address
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Address Line | PO BOX 2129
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City | ODESSA
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State | TX
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Zip | 79760-2129
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Country | US
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Telephone | 432-640-6476
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Fax | 432-640-4758
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | Q9106
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License Number State | TX
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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 | Q9106
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License Number State | TX
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