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General NPI Number Information
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NPI Number | 1689503054
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Entity Type | Individual
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Provider Name | JUAN CARLOS LLANES PUENTES
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Gender | Male
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 7401 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-4509
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Country | US
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Telephone | 713-799-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 9214 BLUE CEDAR LN
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City | HUMBLE
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State | TX
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Zip | 77338-2828
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Country | US
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Telephone | 504-578-4105
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Fax |
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 24-212
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License Number State | WI
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