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General NPI Number Information
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NPI Number | 1922272236
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Entity Type | Individual
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Provider Name | ALVARO HERNANDO ORJUELA MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 1102 BATES AVE STE 260
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City | HOUSTON
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State | TX
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Zip | 77030-2619
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Country | US
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Telephone | 832-824-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 5246 WOODLAWN PL
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City | BELLAIRE
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State | TX
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Zip | 77401-3305
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Country | US
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Telephone | 678-491-1546
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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 | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 44703
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License Number State | TX
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