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General NPI Number Information
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NPI Number | 1689108326
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Entity Type | Individual
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Provider Name | JULIO JOSE JAUREGUI MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 5500 KNOLL NORTH DR STE 100
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City | COLUMBIA
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State | MD
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Zip | 21045-2360
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Country | US
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Telephone | 410-448-6400
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Fax | 443-864-5210
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Provider Business Mailing Address
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Address Line | PO BOX 64134
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City | BALTIMORE
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State | MD
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Zip | 21264-4134
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Country | US
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Telephone | 667-214-2714
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Fax | 410-448-6926
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 2022026608
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License Number State | MO
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