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General NPI Number Information
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NPI Number | 1235808106
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Entity Type | Organization
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Legal Business Name | CENTRO MEDICO ALTENO
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | AV. JOSE GONZALEZ CARNICERITO 1025 JARDINES DE TEPA
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City | TEPATITLAN DE MORELOS
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State | JALISCO
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Zip | 47680
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Country | MX
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Telephone | 378-781-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 EDGEWATER DR STE 4327
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CRISTIAN ORLANDO CORTEZ
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Credential | MD
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Telephone | 650-417-1127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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