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General NPI Number Information
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NPI Number | 1093321168
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Entity Type | Individual
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Provider Name | FERNANDO ANDRES ANGARITA MD, MSC, FRCSC
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Gender | Male
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 10/31/2021
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST STE 1661A
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 346-238-5105
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Fax | 346-238-0008
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST STE 1661A
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 346-238-5105
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Fax | 346-238-0008
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T2310
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License Number State | TX
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