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General NPI Number Information
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NPI Number | 1942463237
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Entity Type | Organization
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Legal Business Name | JORGE Y BURGOS MD PC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 750 N EASTERN AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89101-2850
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Country | US
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Telephone | 702-227-0022
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Fax | 702-227-0084
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Provider Business Mailing Address
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Address Line | 750 N EASTERN AVE STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89101-2850
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Country | US
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Telephone | 702-227-0022
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Fax | 702-227-0084
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Authorized Official
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Title or Position | PROVIDER
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Name | JORGE Y BURGOS
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Credential | MD
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Telephone | 702-227-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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