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General NPI Number Information
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NPI Number | 1649864372
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Entity Type | Individual
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Provider Name | RICARDO JOSE FUENTES-SAAVEDRA MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 855 MONTGOMERY ST
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City | FORT WORTH
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State | TX
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Zip | 76107-2553
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Country | US
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Telephone | 817-735-2235
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Fax | 817-735-2480
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Provider Business Mailing Address
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Address Line | PO BOX 99335
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City | FORT WORTH
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State | TX
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Zip | 76199-0335
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Country | US
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Telephone | 817-735-2235
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Fax | 817-735-2480
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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 | 15999-I
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 87932
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 87932
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | V7887
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License Number State | TX
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