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General NPI Number Information
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NPI Number | 1619321924
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Entity Type | Individual
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Provider Name | FERNANDO MORAN M.D
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Gender | Male
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1601 BROWN ST
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City | EL PASO
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State | TX
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Zip | 79902-4724
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Country | US
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Telephone | 915-544-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 11989 PELLICANO DR STE C
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City | EL PASO
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State | TX
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Zip | 79936-6288
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Country | US
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Telephone | 915-857-0700
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Fax | 915-857-7495
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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 | BP10055736
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | T5992
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | T5992
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License Number State | TX
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