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General NPI Number Information
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NPI Number | 1275094005
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Entity Type | Individual
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Provider Name | HECTOR GUILLERMO MEJIA MORALES MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 201 4TH ST STE 5B
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-769-3501
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Fax | 318-769-3502
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Provider Business Mailing Address
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Address Line | 201 4TH ST STE 5B
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-769-3501
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Fax | 318-769-3502
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 349299
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.168831
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License Number State | IL
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