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General NPI Number Information
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NPI Number | 1437214418
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Entity Type | Organization
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Legal Business Name | LAREDO ORTHOPAEDICS & SPORTS MEDICINE, PA
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 6930 SPRINGFIELD AVE UNIT #2
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City | LAREDO
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State | TX
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Zip | 78041-2312
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Country | US
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Telephone | 956-727-7100
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Fax | 956-727-4747
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Provider Business Mailing Address
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Address Line | PO BOX 450224
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City | LAREDO
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State | TX
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Zip | 78045-0005
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Country | US
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Telephone | 956-727-7100
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Fax | 956-727-4747
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOAQUIN FRANCISCO ORONOZ JR.
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Credential | M.D.
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Telephone | 956-727-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | K9860
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License Number State | TX
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