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General NPI Number Information
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NPI Number | 1467590141
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Entity Type | Organization
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Legal Business Name | PEDRO E. ESTORQUE JR., M.D., P.A.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 2625 SCRIPTURE ST SUITE 103
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City | DENTON
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State | TX
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Zip | 76201-2301
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Country | US
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Telephone | 940-320-0505
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Fax | 940-320-0506
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Provider Business Mailing Address
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Address Line | 2625 SCRIPTURE ST SUITE 103
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City | DENTON
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State | TX
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Zip | 76201-2301
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Country | US
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Telephone | 940-320-0505
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Fax | 940-320-0506
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Authorized Official
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Title or Position | OWNER
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Name | DR. PEDRO ESMERALDA ESTORQUE JR.
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Credential | M.D.
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Telephone | 940-320-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J9017
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License Number State | TX
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