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General NPI Number Information
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NPI Number | 1114116415
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Entity Type | Organization
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Legal Business Name | MAURICIO GIRALDO MD PA
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 3110 W MAIN ST SUITE 150
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City | FRISCO
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State | TX
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Zip | 75033-4599
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Country | US
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Telephone | 469-362-8665
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Fax | 469-362-8085
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Provider Business Mailing Address
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Address Line | 3110 W MAIN ST 150
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City | FRISCO
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State | TX
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Zip | 75033-4599
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Country | US
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Telephone | 469-362-8665
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Fax | 469-362-8085
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MAURICIO GIRALDO
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Credential | M.D.
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Telephone | 469-362-8665
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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 | L9700
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License Number State | TX
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