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General NPI Number Information
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NPI Number | 1922530666
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Entity Type | Individual
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Provider Name | FRANCISCO JAVIER GORTES M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3906 OAKLAND AVENUE
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City | SAINT JOSEPH
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State | MO
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Zip | 64505-8252
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Country | US
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Telephone | 816-271-7648
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Fax | 816-271-7644
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Provider Business Mailing Address
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Address Line | 5325 FARAON ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3488
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Country | US
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Telephone | 816-271-6000
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 2018012078
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License Number State | MO
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