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General NPI Number Information
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NPI Number | 1609843135
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Entity Type | Individual
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Provider Name | JORGE ALBERTO LAGARES-GARCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 125 DOUGHTY ST STE 280
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City | CHARLESTON
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State | SC
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Zip | 29403-5727
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Country | US
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Telephone | 843-958-1281
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Fax | 843-958-1278
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2440
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 33100
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License Number State | SC
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