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General NPI Number Information
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NPI Number | 1548517634
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Entity Type | Organization
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Legal Business Name | JORGE SAENZ M.D.P.A.
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 1416 E EXPRESSWAY 83
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City | WESLACO
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State | TX
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Zip | 78596-4530
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Country | US
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Telephone | 956-873-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 1416 E EXPRESSWAY 83
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City | WESLACO
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State | TX
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Zip | 78596-4530
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Country | US
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Telephone | 956-873-0918
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORGE SAENZ
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Credential | M.D.
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Telephone | 956-873-0918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | N2767
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | N2767
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License Number State | TX
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