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General NPI Number Information
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NPI Number | 1427176981
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Entity Type | Individual
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Provider Name | RECTO ARAGON LSA
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 14507 PARKESGATE DRIVE
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City | HOUSTON
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State | TX
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Zip | 77083
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Country | US
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Telephone | 281-564-8072
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Fax | 281-564-8072
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Provider Business Mailing Address
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Address Line | 14507 PARKESGATE DRIVE
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City | HOUSTON
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State | TX
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Zip | 77083
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Country | US
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Telephone | 281-564-8072
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Fax | 281-564-8072
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00354
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | SA00354
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 01-143
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | SA00354
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License Number State | TX
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