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General NPI Number Information
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NPI Number | 1023110194
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Entity Type | Organization
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Legal Business Name | CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 332 W. COMMERCE
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2409
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Country | US
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Telephone | 210-207-8731
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Fax | 210-207-8999
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Provider Business Mailing Address
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Address Line | 332 W COMMERCE
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2409
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Country | US
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Telephone | 210-207-8731
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Fax | 210-207-8999
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Authorized Official
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Title or Position | DEPARTMENT FISCAL ADMINISTRATOR
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Name | JULIE SANDOVAL
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Credential |
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Telephone | 210-207-5738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 21503
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License Number State | TX
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