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General NPI Number Information
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NPI Number | 1295012946
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Entity Type | Organization
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Legal Business Name | JORGE A. SALDIVAR MD PA
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 11/11/2011
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Provider Practice Location Address
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Address Line | 2715 BOLTON BOONE DR STE. B
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City | DESOTO
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State | TX
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Zip | 75115-2078
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Country | US
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Telephone | 972-780-8009
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Fax | 972-780-6115
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Provider Business Mailing Address
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Address Line | 2715 BOLTON BOONE DR STE. B
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City | DESOTO
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State | TX
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Zip | 75115-2078
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Country | US
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Telephone | 972-780-8009
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Fax | 972-780-6115
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE A SALDIVAR
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Credential | M.D.
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Telephone | 972-780-8009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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