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General NPI Number Information
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NPI Number | 1003005539
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Entity Type | Organization
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Legal Business Name | NITYA SURGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 8038 WURZBACH RD # 650B
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3817
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Country | US
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Telephone | 713-464-7555
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Fax | 713-464-0219
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Provider Business Mailing Address
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Address Line | 407 PUEBLO PINTADO
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City | HELOTES
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State | TX
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Zip | 78023-4725
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Country | US
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Telephone | 713-464-7555
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Fax | 713-464-0219
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. SANDRA J WILLIAMS
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Credential |
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Telephone | 713-464-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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