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General NPI Number Information
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NPI Number | 1831476829
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Entity Type | Organization
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Legal Business Name | JOHN G ORFANOS MD PA
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 1801 S 5TH ST SUITE 120
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-687-7151
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Fax | 956-213-8176
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Provider Business Mailing Address
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Address Line | 1801 S 5TH ST SUITE 120
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City | MCALLEN
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State | TX
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Zip | 78503-2927
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Country | US
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Telephone | 956-687-7151
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Fax | 956-213-8176
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN GEORGE ORFANOS
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Credential | MD
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Telephone | 956-687-7151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G9780
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License Number State | TX
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