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General NPI Number Information
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NPI Number | 1871154732
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Entity Type | Organization
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Legal Business Name | MOREAU ORTHOPAEDICS PLLC
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 1710 E SAUNDERS ST STE B440
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City | LAREDO
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State | TX
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Zip | 78041-5574
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Country | US
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Telephone | 956-724-5666
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Fax | 956-724-5693
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Provider Business Mailing Address
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Address Line | 1710 E SAUNDERS ST STE B440
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City | LAREDO
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State | TX
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Zip | 78041-5574
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Country | US
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Telephone | 956-724-5666
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Fax | 956-724-5693
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Authorized Official
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Title or Position | CEO
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Name | YVEL PASCAL MOREAU
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Credential | MD
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Telephone | 956-724-5666
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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 |
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License Number State |
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