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General NPI Number Information
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NPI Number | 1508442591
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Entity Type | Individual
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Provider Name | AXEL JAVIER OJEDA CRUZADO MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 3068 COVINGTON PIKE
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City | MEMPHIS
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State | TN
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Zip | 38128-5001
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Country | US
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Telephone | 901-383-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 CARLTON RIDGE DR
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City | CORDOVA
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State | TN
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Zip | 38016-7604
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Country | US
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Telephone | 787-565-6944
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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