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General NPI Number Information
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NPI Number | 1437203437
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Entity Type | Individual
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Provider Name | JORGE ALEJANDRO BARBOZA SOSA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 2203 DEL RIO BLVD STE D
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City | EAGLE PASS
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State | TX
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Zip | 78852-3360
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Country | US
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Telephone | 830-776-7324
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Fax | 830-776-7371
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Provider Business Mailing Address
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Address Line | 2298 SAN JUAN DR
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City | EAGLE PASS
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State | TX
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Zip | 78852-4113
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Country | US
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Telephone | 830-773-3797
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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 | J8449
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License Number State | TX
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