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General NPI Number Information
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NPI Number | 1023297306
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Entity Type | Organization
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Legal Business Name | R L CARRY INC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 7700 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3902
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Country | US
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Telephone | 210-558-6288
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Fax | 210-558-6289
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Provider Business Mailing Address
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Address Line | PO BOX 65060
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City | SAN ANTONIO
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State | TX
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Zip | 78265-5060
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Country | US
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Telephone | 210-558-6288
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Fax | 210-558-6289
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Authorized Official
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Title or Position | OWNER
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Name | RODNEY LYNN CARRY
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Credential | MD
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Telephone | 210-829-8063
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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 | F6511
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | F6511
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License Number State | TX
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