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NPI 1730985425

NPI 1730985425 : ALEJANDRO VERDUGO MD PA : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1730985425
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEJANDRO VERDUGO MD PA 
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Dates
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    Enumeration Date     |    02/22/2025
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    Last Update Date     |    02/22/2025
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Provider Practice Location Address
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    Address Line         |    9826 SLIDE RD 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79424-5781
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    Country              |    US
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    Telephone            |    281-221-9964
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9826 SLIDE RD 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79424-5781
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    Country              |    US
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    Telephone            |    281-221-9964
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALEJANDRO  VERDUGO 
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    Credential           |    MD
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    Telephone            |    281-221-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    
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