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General NPI Number Information
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NPI Number | 1710026596
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Entity Type | Individual
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Provider Name | JORGE ADRIAN DE LA CHAPA D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 6002 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-2902
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Country | US
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Telephone | 361-334-2625
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Fax | 361-334-2203
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Provider Business Mailing Address
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Address Line | 6002 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-2902
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Country | US
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Telephone | 361-334-2625
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Fax | 361-334-2203
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K9252
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License Number State | TX
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