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General NPI Number Information
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NPI Number | 1497714281
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Entity Type | Organization
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Legal Business Name | JORGE A. PATINO MD, PA
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 03/04/2009
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Provider Practice Location Address
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Address Line | 5460 PAREDES LINE RD SUITE 198
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City | BROWNSVILLE
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State | TX
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Zip | 78526-9740
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Country | US
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Telephone | 956-542-3200
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Fax | 956-504-6733
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Provider Business Mailing Address
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Address Line | 5460 PAREDES LINE RD SUITE 198
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City | BROWNSVILLE
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State | TX
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Zip | 78526-9740
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Country | US
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Telephone | 956-542-3200
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Fax | 956-504-6733
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JORGE A. PATINO
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Credential | M.D., P.A.
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Telephone | 956-542-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K6684
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License Number State | TX
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