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General NPI Number Information
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NPI Number | 1336214048
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Entity Type | Individual
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Provider Name | LUIS DELEON USUGA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 6800 HERITAGE PKWY STE 102
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City | ROCKWALL
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State | TX
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Zip | 75087-8746
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Country | US
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Telephone | 972-463-1811
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Fax | 972-463-1927
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Provider Business Mailing Address
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Address Line | PO BOX 2843
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City | ROWLETT
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State | TX
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Zip | 75030-2843
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Country | US
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Telephone | 972-463-1811
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Fax | 972-463-1927
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | K6945
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License Number State | TX
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