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General NPI Number Information
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NPI Number | 1316736994
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Entity Type | Organization
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Legal Business Name | ORTHOEDGE ORTHOPEDICS AND SPORTS MEDICINE
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 5555 N MESA ST STE 400
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City | EL PASO
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State | TX
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Zip | 79912-5424
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Country | US
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Telephone | 915-780-3909
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 N MESA ST STE 400
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City | EL PASO
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State | TX
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Zip | 79912-5424
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Country | US
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Telephone | 915-780-3909
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Fax |
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | WILLIAM ARROYO SIFUENTES
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Credential | MD
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Telephone | 915-780-3909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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