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General NPI Number Information
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NPI Number | 1306582838
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Entity Type | Individual
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Provider Name | ESTEBAN PEREZ DO
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Gender | Male
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Dates
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Enumeration Date | 05/08/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1310 MCCULLOUGH AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5601
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Country | US
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Telephone | 210-921-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6903 NW 80TH ST
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City | TAMARAC
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State | FL
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Zip | 33321-7065
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Country | US
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Telephone | 954-678-7769
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V9694
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License Number State | TX
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