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General NPI Number Information
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NPI Number | 1578550919
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Entity Type | Individual
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Provider Name | JAIRO L BERMUDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4414 NORTH FWY
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City | HOUSTON
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State | TX
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Zip | 77022-3654
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 301 JENNY GEORGE LN STE A
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City | SWEETWATER
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State | TX
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Zip | 79556-7145
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Country | US
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Telephone | 325-235-0770
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Fax | 325-235-0771
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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 | K2848
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License Number State | TX
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