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General NPI Number Information
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NPI Number | 1811221989
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Entity Type | Individual
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Provider Name | JOSE F CORTES D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 14341 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 75216
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Country | US
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Telephone | 210-493-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 60 CRITTENDEN BLVD APT 1222
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City | ROCHESTER
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State | NY
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Zip | 14620
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Country | US
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Telephone | 585-354-2734
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 24521
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License Number State | TX
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