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General NPI Number Information
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NPI Number | 1083771885
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Entity Type | Organization
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Legal Business Name | ALDO F BEJARANO MD PA
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 3326 WATTERS RD BLDG D
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City | PASADENA
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State | TX
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Zip | 77504-2053
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Country | US
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Telephone | 832-386-9200
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Fax | 832-386-9203
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Provider Business Mailing Address
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Address Line | PO BOX 2264
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City | PEARLAND
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State | TX
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Zip | 77588
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Country | US
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Telephone | 832-386-9200
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Fax | 832-386-9203
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALDO FERNANDO BEJARANO
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Credential | M.D.
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Telephone | 832-386-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K0631
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License Number State | TX
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