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General NPI Number Information
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NPI Number | 1356303960
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Entity Type | Individual
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Provider Name | JORGE L RINCON MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 1162 E SONTERRA BLVD STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4049
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Country | US
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Telephone | 210-587-7744
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Fax | 210-745-0990
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Provider Business Mailing Address
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Address Line | PO BOX 792424
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City | SAN ANTONIO
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State | TX
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Zip | 78279-2424
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Country | US
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Telephone | 210-587-7744
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L8172
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License Number State | TX
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