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General NPI Number Information
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NPI Number | 1841297421
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Entity Type | Individual
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Provider Name | JORGE A SIFUENTES JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 4510 BELL ST
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City | AMARILLO
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State | TX
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Zip | 79109-5714
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Country | US
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Telephone | 806-212-4835
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Fax |
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Provider Business Mailing Address
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Address Line | 713 N. DEAHL
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City | BORGER
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State | TX
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Zip | 79007
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Country | US
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Telephone | 806-274-7057
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Fax | 806-274-2531
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M0922
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License Number State | TX
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