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Individual
JORGE ALBERTO VIDAURRE
Active
Individual
JORGE ALBERTO VIDAURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35087257
OH
2084E0001X
Epilepsy Physician
Primary
35.087257
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35087257
OH
2084N0600X
Clinical Neurophysiology Physician
35087257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080530
—
OH
01
—
4177661
CGS - MEDICARE
OH
Enumeration date
03/31/2006
Last updated
06/26/2026
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