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General NPI Number Information
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NPI Number | 1760429161
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Entity Type | Individual
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Provider Name | JESSE C DELEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 2833 BABCOCK RD STE 435
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4850
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Country | US
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Telephone | 210-705-5060
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Fax | 210-705-5167
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Provider Business Mailing Address
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Address Line | PO BOX 9191
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City | BELFAST
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State | ME
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Zip | 04915-9191
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Country | US
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Telephone | 210-351-6500
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Fax | 210-351-6509
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D7008
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License Number State | TX
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