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General NPI Number Information
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NPI Number | 1720097215
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Entity Type | Individual
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Provider Name | JORGE A ORTEGON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 2821 MICHAEL ANGELO STE 300
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City | EDINBURG
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State | TX
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Zip | 78539-1404
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Country | US
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Telephone | 956-630-1225
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Fax | 956-630-1841
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Provider Business Mailing Address
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Address Line | PO BOX 4647
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City | MCALLEN
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State | TX
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Zip | 78502-4647
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Country | US
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Telephone | 956-630-1225
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Fax | 956-630-1841
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | K6668
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License Number State | TX
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