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General NPI Number Information
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NPI Number | 1508779380
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Entity Type | Individual
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Provider Name | JOAO BOURBON DE ALBUQUERQUE II MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 2131 MINISTRO GERALDO BARRETO SOBRAL AVE SUITE 104
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City | ARACAJU
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State | SERGIPE
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Zip | 4902010
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Country | BR
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MONSENHOR OLIVIO TEIXEIRA ST APARTMENT 501
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City | ARACAJU
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State | SE - SERGIPE
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Zip | 49026225
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Country | BR
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2026046231
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License Number State | MO
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