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General NPI Number Information
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NPI Number | 1730529108
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Entity Type | Individual
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Provider Name | JORGE LUIS ESCOBAR VALLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 875 POPLAR CHURCH RD STE 400
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City | CAMP HILL
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State | PA
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Zip | 17011-2203
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Country | US
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Telephone | 610-208-8818
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Fax | 717-214-1068
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Provider Business Mailing Address
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Address Line | PO BOX 848
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City | HERSHEY
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State | PA
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Zip | 17033-0848
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Country | US
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Telephone | 610-208-8818
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 256356
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD22671
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD487089
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License Number State | PA
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