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General NPI Number Information
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NPI Number | 1568625432
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Entity Type | Individual
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Provider Name | JUAN PABLO SARMIENTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 5300 N G ST STE 110
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City | MCALLEN
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State | TX
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Zip | 78504-6550
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Country | US
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Telephone | 956-540-9766
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 E GRIFFIN PKWY STE D
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City | MISSION
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State | TX
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Zip | 78572-2408
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Country | US
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Telephone | 956-450-3093
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Fax | 956-631-9822
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN12410
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | Q3090
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | Q3090
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License Number State | TX
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