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General NPI Number Information
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NPI Number | 1104505494
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Entity Type | Individual
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Provider Name | ALEJANDRO MORALES
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Gender | Male
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 414 SHILOH DR UNIT 9
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City | LAREDO
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State | TX
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Zip | 78045-6745
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Country | US
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Telephone | 956-791-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 123 NORTHPOINT DR
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City | LAREDO
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State | TX
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Zip | 78041-5905
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Country | US
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Telephone | 956-334-2388
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2173976
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License Number State | TX
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