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General NPI Number Information
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NPI Number | 1477868917
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Entity Type | Individual
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Provider Name | HUGO ESTEFANO ALTAMIRANO MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 2000 VALE RD
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City | SAN PABLO
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State | CA
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Zip | 94806-3808
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Country | US
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Telephone | 510-970-5253
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Fax | 510-970-5746
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Provider Business Mailing Address
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Address Line | 3000 LILLARD DR 165
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City | DAVIS
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State | CA
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Zip | 95618-4844
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Country | US
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Telephone | 917-541-5541
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A121792
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License Number State | CA
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