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General NPI Number Information
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NPI Number | 1164719100
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Entity Type | Individual
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Provider Name | ALFREDO SARDINAS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 427 W 20TH ST STE 220
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City | HOUSTON
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State | TX
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Zip | 77008
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Country | US
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Telephone | 713-869-0850
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Fax | 762-212-5020
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Provider Business Mailing Address
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Address Line | 427 W 20TH ST STE 220
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City | HOUSTON
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State | TX
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Zip | 77008-2400
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Country | US
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Telephone | 713-869-0850
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Fax | 762-212-5020
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10040355
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | R1124
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License Number State | TX
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