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General NPI Number Information
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NPI Number | 1609028729
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Entity Type | Individual
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Provider Name | JASON DUANE VOURAZERIS MD
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Gender | Male
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 12770 EDGEMERE BLVD BUILDING F
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City | EL PASO
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State | TX
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Zip | 79938-4568
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Country | US
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Telephone | 915-249-4000
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Fax | 915-206-5949
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Provider Business Mailing Address
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Address Line | 12770 EDGEMERE BLVD STE F
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City | EL PASO
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State | TX
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Zip | 79938-4569
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Country | US
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Telephone | 915-249-4000
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Fax | 915-206-5949
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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 | Q1531
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License Number State | TX
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