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General NPI Number Information
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NPI Number | 1184818874
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Entity Type | Individual
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Provider Name | CARMEN W. OROZCO III PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 1300 W WALL ST
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City | MIDLAND
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State | TX
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Zip | 79701-6625
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Country | US
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Telephone | 432-684-4488
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Fax | 432-684-6644
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Provider Business Mailing Address
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Address Line | 2906 ANN DR
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City | MIDLAND
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State | TX
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Zip | 79705-9732
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Country | US
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Telephone | 432-570-8476
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA03314
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License Number State | TX
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